Kirk Nickum, DC

NPI 1154428860 · on the registry since 2006 · sole proprietor

Practice

Address: 5650 W Flamingo Rd
Suite #A
Las Vegas, NV 89103
Phone: (702) 368-3910
Fax: (702) 871-4729
Organisation at this address: Matthew G Roach D C A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada