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Individual

DR. KATHERINE KERN NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2401 VILLAGE PROFESSIONAL PKWY, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Mailing address
2401 VILLAGE PROFESSIONAL PKWY, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18435
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1210140
UNITED HEALTH PROV #
AL
01
153293
AAP ID
01
18435
ALABAMA MEDICAL LICENSE
AL
01
32572
AMERICAN BOARD PEDIATRICS
01
510-27666
BCBS AL PROV # OPELIKA
AL
01
515-17926
BCBS AL PROV # AUBURN
AL
Enumeration date
02/12/2007
Last updated
03/07/2023
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