Nichols, Kathleen A

Nichols, Kathleen A is an individual health care provider with primary practice located at 13055 W Mcdowell Rd Suite E-106, Avondale AZ 85392-6449. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Nichols, Kathleen A can be contacted via phone (623) 975-8400.

Contact Information

Primary practice address
13055 W Mcdowell Rd Suite E-106 Avondale AZ 85392-6449
Fax: (623) 935-2975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AZ26993 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AZ26993 Arizona

Profile Details

NPI number 1245241215
LBN Legal business name Nichols, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 8th, 2015 - about 9 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 1245241215 NPPES
Arizona MEDICAID 517675

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