Provider Demographics
NPI:1760644918
Name:PFEIFER, KYLE M (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:M
Last Name:PFEIFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:730 N DIERS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4954
Mailing Address - Country:US
Mailing Address - Phone:308-398-1344
Mailing Address - Fax:308-398-1346
Practice Address - Street 1:730 N DIERS AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4954
Practice Address - Country:US
Practice Address - Phone:308-398-1344
Practice Address - Fax:308-398-1346
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2014-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE263022085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology