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Individual
NICHOLAS THEODORE SEVERYN
Active
Individual
NICHOLAS THEODORE SEVERYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02005617A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
TP779
KY
Other
Enumeration date
04/24/2016
Last updated
07/02/2026
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