Nicholson, Kenny L

Nicholson, Kenny L is an sole proprietor health care provider with primary practice located at 125 Muddy Toes Dr , Anderson SC 29626-5349. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Nicholson, Kenny L can be contacted via phone (864) 353-3384.

Contact Information

Primary practice address
125 Muddy Toes Dr Anderson SC 29626-5349
Phone: (864) 353-3384
Fax: (864) 222-9715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27318 South Carolina

Profile Details

NPI number 1215626213
LBN Legal business name Nicholson, Kenny L
Credentials MSN, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2023
Last updated May 4th, 2023 - about 2 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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