Individual
LUKE O NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27107
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100335940B
—
KS
01
—
101029
BCBS
KS
01
—
102900
HPK
KS
01
—
11984
PHS
KS
01
—
12149442
MULTIPLAN
KS
01
—
81682
COVENTRY
KS
Enumeration date
07/03/2006
Last updated
02/07/2015
Update your record
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