Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENT A NICKELL, M.D.
ActiveCytopathology · WATERLOO, IA
Registration Details
- NPI Number
- 1942270004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.251184464944 yrs)
- Last Updated
- Oct 10, 2023
- Licenses
-
32811 (IA)036148445 (IL)
Practice Information
- Address
-
1825 LOGAN AVENORTHEAST IOWA PATHOLOGY ASSOCIATES,PCWATERLOO, IA, 507031916Browse IA providers · Browse ZIP 50703
- Phone
- 3192353679
- Fax
- 3192330722
- Primary Specialty
-
Cytopathology
207ZC0500X
- Additional Specialty
- Cytopathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.