Individual
MATHEW A NICHOLLS
Active
Individual
MATHEW A NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36058
KY
207X00000X
Orthopaedic Surgery Physician
Primary
MD60713968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000335141
BCBS
KY
05
—
64077316
—
KY
01
—
7995543
AETNA
KY
Enumeration date
06/09/2006
Last updated
07/23/2020
Update your record
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