Nichols, Kimberley R

Nichols, Kimberley R is an individual health care provider with primary practice located at 101 Manning Dr. , Chapel Hill NC 27599-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Nichols, Kimberley R can be contacted via phone (919) 966-8596.

Contact Information

Primary practice address
101 Manning Dr. Chapel Hill NC 27599-0001
Fax: (919) 843-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101238564 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 0101238564 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200401424 North Carolina

Profile Details

NPI number 1356309710
LBN Legal business name Nichols, Kimberley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 26th, 2012 - about 12 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 1356309710 NPPES
North Carolina MEDICAID 5917900
North Carolina MEDICAID 010214360

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