Individual
KELLY M NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST STE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Mailing address
887 CONGRESS ST STE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
279258
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD27355
ME
Other
Enumeration date
03/27/2015
Last updated
11/21/2025
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