Nevills, Kyle Dale

Nevills, Kyle Dale is an individual health care provider with primary practice located at 1213 Hylton Heights Rd Ste 109 , Manhattan KS 66502. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Nevills, Kyle Dale can be contacted via phone (785) 320-7576.

Contact Information

Primary practice address
1213 Hylton Heights Rd Ste 109 Manhattan KS 66502
Phone: (785) 320-7576
Fax: (785) 320-5428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 54321 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54321 Kansas

Profile Details

NPI number 1891737243
LBN Legal business name Nevills, Kyle Dale
Credentials CRNA, DNP, NSPM-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Nov 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891737243 NPPES
Kansas MEDICAID 100248420C

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