Nichols, Katherine Marie

Nichols, Katherine Marie is an individual health care provider with primary practice located at 100 Mallard Creek Rd Ste 406, Louisville KY 40207-4194. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Nichols, Katherine Marie can be contacted via phone (502) 895-4607.

Contact Information

Primary practice address
100 Mallard Creek Rd Ste 406 Louisville KY 40207-4194
Phone: (502) 895-4607
Fax: (502) 895-4586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44258 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 44258 Kentucky

Profile Details

NPI number 1295991313
LBN Legal business name Nichols, Katherine Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Mar 15th, 2017 - about 7 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 1295991313 NPPES
Indiana MEDICAID 201028960
Indiana MEDICAID 7100164170

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