Individual
NICHOLAS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 DANIEL BOONE PLZ, HAZARD, KY 41701-5335
(606) 436-6565
Mailing address
120 DANIEL BOONE PLZ, HAZARD, KY 41701-5335
(606) 436-6565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2346DT
KY
Other
Enumeration date
07/26/2023
Last updated
08/21/2023
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