Individual
ALEXIS NICKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S LIMESTONE STE L104, LEXINGTON, KY 40536-5346
(859) 257-3253
(859) 257-7603
Mailing address
740 S LINESTONE STE L104, LEXINGTON, KY 40536-7001
(859) 323-6348
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
55244
KY
Other
Enumeration date
03/31/2015
Last updated
07/31/2021
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