Individual provider · Type 1 NPI

Kirk Ryan Nickum, DC

Chiropractor · Las Vegas, NV

NPI number 1154428860 Active

Practice location

5650 W Flamingo Rd, Suite #A
Las Vegas, NV 89103-0172

Call (702) 368-3910 Map

Fax (702) 871-4729

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XB00420 (NV)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1154428860

Kirk Ryan Nickum, DC's National Provider Identifier is 1154428860, issued on Sep 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 16, 2007.