Healthcare Provider Details

I. General information

NPI: 1437281011
Provider Name (Legal Business Name): MS. NIKKOLE ALBERTA KYSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 S NARCISSUS WAY
DENVER CO
80237-2024
US

IV. Provider business mailing address

1175 S CATHAY ST
AURORA CO
80017-4510
US

V. Phone/Fax

Practice location:
  • Phone: 303-639-9728
  • Fax: 303-757-4478
Mailing address:
  • Phone: 720-628-1524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: