Individual
MRS. KIM MCNICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3242 ROUTE 206 STE A2, BORDENTOWN, NJ 08505-4517
(609) 298-4340
(609) 298-4370
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00519900
NJ
Other
Enumeration date
10/08/2014
Last updated
06/01/2021
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