NPI 1134534761 · live from the CMS NPI Registry
Kyle John Hancock, M.D.
Orthopaedic Surgery, Sports Medicine in Las Vegas, NV. National Provider Identifier 1134534761, active.
NPI record
| NPI | 1134534761 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121 |
| Practice phone | 702-731-1616 |
| Enumerated | June 23, 2014 |
| Last updated | July 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | R-10103 (IA) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 19897 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.