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Individual

DR. NICHOLAS ALLEN NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
46275
KY
208600000X
Surgery Physician
A120887
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201174270
INDIANA MEDICAID
IN
01
500511880
PASSPORT
KY
05
7100130810
KY
Enumeration date
04/09/2007
Last updated
08/09/2013
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