Individual
DR. WILLIAM SHANE KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10561 JEFFREYS ST, SUITE 100, HENDERSON, NV 89052-4266
(702) 478-5620
(702) 478-5093
Mailing address
PO BOX 629, ALTOONA, IA 50009-0629
(515) 645-9911
(515) 967-5581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10972
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506573
—
NV
Enumeration date
06/12/2006
Last updated
09/16/2014
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