Individual
DR. KIRSTEN ELIZABETH EMERY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3202
(863) 680-7000
(866) 264-8519
Mailing address
3413 W GRANADA ST, TAMPA, FL 33629-7050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME117033
FL
Other
Enumeration date
12/21/2008
Last updated
09/26/2024
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