Nichols, Kelly Theresa

Nichols, Kelly Theresa is an individual health care provider with primary practice located at 526 Euclid Ave , North Tonawanda NY 14120-4205. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Nichols, Kelly Theresa can be contacted via phone (716) 472-5649.

Contact Information

Primary practice address
526 Euclid Ave North Tonawanda NY 14120-4205
Phone: (716) 472-5649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 802681 New York

Profile Details

NPI number 1710613120
LBN Legal business name Nichols, Kelly Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 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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