Individual
ALLISON KENDALL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 W 8TH AVE STE 200, SPOKANE, WA 99204-2318
(509) 624-9112
Mailing address
1065 W RUSTIC LODGE DR APT 202, COEUR D ALENE, ID 83815-7713
(979) 415-5249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61106371
WA
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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