Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Kimball

Individual provider Family Nurse Practitioner · NPI 1215892302

Kyle Kimball is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Nevada Burn and Reconstruction Coates Ltd, an 8-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2025
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Practice location Address checks out

11542 Salt Creek Ave
Las Vegas, NV 89138-9304
Phone: (714) 496-0556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 821408 (NV)

Record details

NPI number1215892302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nevada Burn And Reconstruction Coates Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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