Individual
MRS. KIMBERLY K NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP PHD
Contact information
Practice address
2431 W MAIN ST STE 1001, DOTHAN, AL 36301-6404
(334) 677-6220
(334) 677-2206
Mailing address
101 GLENDEVON LN, DOTHAN, AL 36305-6933
(334) 500-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-029355
AL
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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