Provider Demographics
NPI:1568435287
Name:NEVIUS, WILLIAM KYLE (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KYLE
Last Name:NEVIUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 VANDERBILT BEACH RD
Mailing Address - Street 2:SUITE 146
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2766
Mailing Address - Country:US
Mailing Address - Phone:239-596-4800
Mailing Address - Fax:239-596-4801
Practice Address - Street 1:2355 VANDERBILT BEACH RD
Practice Address - Street 2:SUITE 146
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2766
Practice Address - Country:US
Practice Address - Phone:239-596-4800
Practice Address - Fax:239-596-4801
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00005510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT85295Medicare UPIN