Individual
MARTHA KENYON NICHOLSON
Active
Individual
MARTHA KENYON NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
336971
NY
208000000X
Pediatrics Physician
A63320
CA
2080P0202X
Pediatric Cardiology Physician
A63320
CA
208M00000X
Hospitalist Physician
A63320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A633200
—
CA
Enumeration date
11/20/2006
Last updated
07/19/2026
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