Individual
DR. KATHERINE MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MALLARD CREEK RD, STE 406, LOUISVILLE, KY 40207-4194
(502) 895-4607
(502) 895-4586
Mailing address
100 MALLARD CREEK RD, STE 406, LOUISVILLE, KY 40207-4194
(502) 895-4607
(502) 895-4586
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
44258
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
44258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201028960
—
IN
05
—
7100164170
—
KY
Enumeration date
07/29/2008
Last updated
03/15/2017
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