Individual
KEVIN R MARTIN NISLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1 N MAIN ST STE 416, HUTCHINSON, KS 67501-5250
(620) 960-7414
(888) 519-0964
Mailing address
PO BOX 51, ARLINGTON, KS 67514-0051
(620) 960-7414
(888) 519-0964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4738
KS
1041C0700X
Clinical Social Worker
Primary
3737
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098120A
—
KS
Enumeration date
09/16/2006
Last updated
03/19/2025
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