Nicola, Kim Richard
Nicola, Kim Richard is an sole proprietor health care provider with primary practice located at 2928 Busbee Pkwy Nw 530, Kennesaw GA 30144-4820. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nicola, Kim Richard can be contacted via phone (770) 627-4950.Contact Information
Primary practice address
2928 Busbee Pkwy Nw 530
Kennesaw GA 30144-4820
Phone: (770) 627-4950
Fax: (770) 627-4950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 027881 | Georgia |
Profile Details
| NPI number | 1770608267 |
|---|---|
| LBN Legal business name | Nicola, Kim Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jan 15th, 2008 - about 17 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 | 1770608267 | NPPES |
| Georgia | MEDICAID | 00312375D |
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