Individual
MELISSA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HODE RD, WARFIELD, KY 41267-8002
(606) 390-2262
Mailing address
113 HODE RD, WARFIELD, KY 41267-8002
(606) 390-2262
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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