Individual
PAUL J NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1780 NICHOLASVILLE ROAD, SUITE 501, LEXINGTON, KY 40503
(859) 278-3481
(859) 277-7365
Mailing address
PO BOX 890437, CHARLOTTE, NC 28289-0437
(859) 278-3481
(859) 277-7365
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20294
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047276
BCBS NUMBER
KY
01
—
5930050
AETNA
KY
05
—
64202948
—
KY
Enumeration date
06/09/2006
Last updated
05/02/2008
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