Individual
DR. KIMBERLEY R NICHOLS
Active
Individual
DR. KIMBERLEY R NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238564
VA
207L00000X
Anesthesiology Physician
200401424
NC
208VP0000X
Pain Medicine Physician
0101238564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010214360
—
VA
05
—
5917900
—
NC
Enumeration date
05/03/2006
Last updated
09/26/2012
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