KYLE P. NIELSON (NPI# 1770583726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583726 |
| Entity Type | Individual |
| Full Name | KYLE P. NIELSON |
| Other Name | KYLE PRATT HANKS |
| Credential | M.D. |
| Practice Address |
7862 Majestic Ridge Dr Salt Lake City UT 84121-5787 |
| Practice Telephone | 8019309490 |
| Mailing Telephone | 8019309490 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5547 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 200262806 | 05 |
| Street Address |
7862 MAJESTIC RIDGE DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-5787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1508124843 | Nikolas Michael Damme | Radiology | 30 N 1900 East #1a071, Apt B4, Salt Lake City, UT 84413-2140 | 2012-04-24 |
| 1093071045 | Kaerli Main Christensen | Radiology | 30 North 1900 East, Room 4c104, University of Utah Department of Internal Medicine, Salt Lake City, UT 84132 | 2012-04-04 |
| 1952697849 | Ashley D. Gettemy | Radiology | 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 | 2011-06-20 |
| 1598056848 | Miriam Peckham | Radiology | 30 N 1900 E # 1c412, Gme Office, Salt Lake City, UT 84132-2115 | 2011-04-20 |
| 1285945006 | David Cameron Olson | Radiology | 30 N 1900 E # 1a71, Salt Lake City, UT 84132-0002 | 2010-06-25 |
| 1619292182 | Richard Keller | Radiology | 1235 East 200 South #702, 1235 East 200 South #702, Salt Lake City, UT 84102-8410 | 2010-03-29 |
| 1699914267 | George Nicholas Baldwin | Radiology | 3519 E. Arcata R, Salt Lake City, UT 84124-4738 | 2009-02-05 |
| 1285896415 | Joseph Scott Mcnally | Radiology | 447 Edith Ave, Salt Lake City, UT 84111-4724 | 2008-06-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on KYLE P. NIELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.