Kent A. Nickell, M.D.

Anatomic Pathology Physician · Waterloo, IA

Individual Active NPI

NPI number 1942270004

Practice location

1825 Logan Ave
Northeast Iowa Pathology Associates,PC
Waterloo, IA 50703-1916
Phone
(319) 235-3679
Fax
(319) 233-0722

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NPI record

NPI
1942270004
Entity type
Individual (Type 1)
Enumeration date
January 23, 2006
Last updated
April 20, 2026
Certified
April 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anatomic Pathology Physician Primary 207ZP0101X 036.148445 IL
Anatomic Pathology Physician 207ZP0101X 32811 IA
Cytopathology Physician 207ZC0500X 036148445 IL

Mailing address

29624 Network Pl
Chicago, IL 60673-1296
Phone
(815) 971-5000

Other practice locations (4)

  • 1045 W Stephenson St, Freeport, IL 61032-4864 · (815) 599-6000
  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 · (815) 971-7000
  • 875 S Route 31, Crystal Lake, IL 60014-8190 · (779) 220-5500
  • 1045 W Stephenson St, Freeport, IL 61032-4864 · (815) 599-6000

About Dr. Nickell

Kent A. Nickell, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anatomic Pathology Physician (code 207ZP0101X). The practice location is 1825 Logan Ave, Northeast Iowa Pathology Associates,PC, Waterloo, IA 50703-1916. The NPI number 1942270004 was assigned on January 23, 2006 and the record was last updated on April 20, 2026.

Dr. Nickell lists 3 licenses in the registry: #036.148445 (IL) for Anatomic Pathology Physician; #32811 (IA) for Anatomic Pathology Physician; #036148445 (IL) for Cytopathology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kent A. Nickell, M.D.?

The NPI number is 1942270004.

What is the phone number of Dr. Nickell?

The phone number listed for the practice location is (319) 235-3679.

Where is Dr. Nickell located?

1825 Logan Ave, Northeast Iowa Pathology Associates,PC, Waterloo, IA 50703-1916.

What is the taxonomy code for Dr. Nickell?

The primary taxonomy code is 207ZP0101X – Anatomic Pathology Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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