Individual
KATHRYN CANNADA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, NELSON 143, BALTIMORE, MD 21287-0005
(410) 955-4567
Mailing address
600 N WOLFE ST, NELSON 143, BALTIMORE, MD 21287-0005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24892
MS
2085R0202X
Diagnostic Radiology Physician
Primary
D76167
MD
Other
Enumeration date
04/06/2011
Last updated
04/17/2017
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