Individual
DR. NICHOLAS KOHLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 N SIOUX POINT RD STE 100, DAKOTA DUNES, SD 57049-5067
(712) 222-7970
(712) 294-7464
Mailing address
711 N SIOUX POINT RD STE 100, DAKOTA DUNES, SD 57049-5067
(712) 222-7970
(712) 294-7464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16776
SD
207Q00000X
Family Medicine Physician
30226
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
05/26/2016
Last updated
09/30/2025
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