Individual
KENSLEY NICHOLS
Active
Individual
KENSLEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101261116
VA
207RI0200X
Infectious Disease Physician
48960
CT
208M00000X
Hospitalist Physician
048960
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048960
CT LICENSE
CT
05
—
1407054745
—
CT
Enumeration date
07/09/2007
Last updated
11/10/2016
Update your record
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