Martin Nisly, Kevin R

Martin Nisly, Kevin R is an individual health care provider with primary practice located at 1600 N Lorraine St Ste 202, Hutchinson KS 67501-5600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martin Nisly, Kevin R can be contacted via phone (620) 200-2023.

Contact Information

Primary practice address
1600 N Lorraine St Ste 202 Hutchinson KS 67501-5600
Phone: (620) 200-2023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4738 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3737 Kansas

Profile Details

NPI number 1407952278
LBN Legal business name Martin Nisly, Kevin R
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jun 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407952278 NPPES
Kansas MEDICAID 100098120A

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