Individual
DR. KATRHLEEN WINIFRED MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON RD, 1E50, NEWARK, DE 19718-0002
(302) 733-1980
(302) 733-1986
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7150
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C10005602
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000090001
—
DE
Enumeration date
09/27/2006
Last updated
08/22/2007
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