Individual
DR. KYLE B NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101288067
VA
207L00000X
Anesthesiology Physician
036.175981
IL
207L00000X
Anesthesiology Physician
1249302
IA
207L00000X
Anesthesiology Physician
Primary
19300
ND
207L00000X
Anesthesiology Physician
56796-20
WI
207R00000X
Internal Medicine Physician
164422
NC
207R00000X
Internal Medicine Physician
56796
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194041285
—
WI
Enumeration date
04/14/2010
Last updated
06/16/2026
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