Provider Demographics
NPI:1972517852
Name:KUIPER, NICHOLAS JOSEF (DO)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOSEF
Last Name:KUIPER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:515 COLLEGE ST STE 2800
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2500
Mailing Address - Country:US
Mailing Address - Phone:319-268-3990
Mailing Address - Fax:319-268-3995
Practice Address - Street 1:515 COLLEGE ST STE 2800
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613
Practice Address - Country:US
Practice Address - Phone:319-268-3990
Practice Address - Fax:319-268-3995
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA3744208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery