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Kyle P Nielson

  • Male

Medical Specialty

Professional ID

  • NPI: 1770583726
  • PECOS ID: 9638358443
  • Enrollment ID: I20140714001236
  • Credential(MD, DO, DPM):
  • Medical School: University Of Utah School Of Medicine
  • Medical School Graduation Year: 1982

Hospital Service

  • Hospital CCN1: 030101
  • Business Name (LBN)1: Western Arizona Regional Medical Center
  • Hospital CCN2: 030117
  • Business Name (LBN)2: Valley View Medical Center
  • Hospital CCN3: 290003
  • Business Name (LBN)3: Sunrise Hospital And Medical Center
  • Hospital CCN4: 051323
  • Business Name (LBN)4: Colorado River Medical Center
  • Hospital CCN5: 290041
  • Business Name (LBN)5: Summerlin Hospital Medical Center

Medical Practices

  • Organization Name: Mohave Desert Radiology Plc
  • Group Practice ID assigned by PECOS: 8426113077
  • Number of Group Practice member: 14

Location

  • Address1: 2735 Silver Lake Creek Rd
  • Address2:
  • City: Bullhead City
  • State: Arizona
  • Zip Code: 86442
  • Phone Number: (928)763-2273

Location

  • Address1: 3641 Hwy 95
  • Address2:
  • City: Bullhead City
  • State: Arizona
  • Zip Code: 86442
  • Phone Number: (928)758-2273

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):