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
Phone: (623) 975-8400
Fax: (623) 935-2975
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245241215 | NPPES |
Arizona | MEDICAID | 517675 |
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