Nichols, Kristen

Nichols, Kristen is an sole proprietor health care provider with primary practice located at 534 Owl Creek Dr , Powder Springs GA 30127-6285. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nichols, Kristen can be contacted via phone (770) 361-4124.

Contact Information

Primary practice address
534 Owl Creek Dr Powder Springs GA 30127-6285
Phone: (770) 361-4124
Fax: (678) 290-5587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET003032 Georgia

Profile Details

NPI number 1285285718
LBN Legal business name Nichols, Kristen
Credentials SLP-PCE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2019
Last updated Sep 25th, 2019 - about 6 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 1285285718 NPPES
Georgia MEDICAID 000869096E

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