Nickell, Kevin G

Nickell, Kevin G is an individual health care provider with primary practice located at 7777 Southwest Fwy # 1032, Houston TX 77074-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nickell, Kevin G can be contacted via phone (713) 351-0644.

Contact Information

Primary practice address
7777 Southwest Fwy # 1032 Houston TX 77074-1802
Phone: (713) 351-0644
Fax: (713) 351-0633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X J0783 Texas

Profile Details

NPI number 1053388785
LBN Legal business name Nickell, Kevin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Nov 21st, 2007 - about 18 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 1053388785 NPPES
Texas MEDICAID 039081701

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