Individual
KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
Mailing address
9010 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-8646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14267947-1206
UT
363A00000X
Physician Assistant
Primary
PA2376
NV
Other
Enumeration date
02/13/2021
Last updated
02/06/2026
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