Individual
DR. KYLE C NIZIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1003
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2023014539
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2023014539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123380
—
MO
Enumeration date
04/08/2012
Last updated
04/17/2025
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