Individual
DR. KATELYN ELLEN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295914
IL
Other
Enumeration date
08/03/2012
Last updated
02/07/2015
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