Provider Demographics
NPI:1437281011
Name:KYSER, NIKKOLE ALBERTA
Entity Type:Individual
Prefix:MS
First Name:NIKKOLE
Middle Name:ALBERTA
Last Name:KYSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 S CATHAY ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4510
Mailing Address - Country:US
Mailing Address - Phone:720-628-1524
Mailing Address - Fax:
Practice Address - Street 1:3940 S NARCISSUS WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2024
Practice Address - Country:US
Practice Address - Phone:303-639-9728
Practice Address - Fax:303-757-4478
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program