NPI 1508459231 · live from the CMS NPI Registry
Kyle Anderson, PA
Physician Assistant in Las Vegas, NV. National Provider Identifier 1508459231, active.
NPI record
| NPI | 1508459231 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 9010 W Cheyenne Ave, Las Vegas, NV 89129 |
| Practice phone | 702-240-8646 |
| Enumerated | February 13, 2021 |
| Last updated | February 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 14267947-1206 (UT) |
| Physician Assistant primary | 363A00000X | PA2376 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.