Individual
KEVIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2018 BEALMEAR MILL LN APT 6306, ODENTON, MD 21113-3005
(240) 732-9334
Mailing address
2018 BEALMEAR MILL LN APT 6306, ODENTON, MD 21113-3005
(240) 732-9334
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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