Organization
NIKS HEALTHY DREAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KEMP APRN (OWNER)
(785) 554-3016
Entity
Organization
Contact information
Practice address
5334 AIRPORT RD NW, ROANOKE, VA 24012-1302
(785) 554-3016
Mailing address
PO BOX 13442, ROANOKE, VA 24034-3442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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