Individual
DR. KYLE DALE NEVILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP, NSPM-C
Contact information
Practice address
1213 HYLTON HEIGHTS RD STE 109, MANHATTAN, KS 66502
(785) 320-7576
(785) 320-5428
Mailing address
1213 HYLTON HEIGHTS RD STE 109, MANHATTAN, KS 66502-2812
(785) 320-7576
(785) 320-5428
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
54321
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
54321
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248420C
—
KS
Enumeration date
06/11/2006
Last updated
11/07/2018
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