Individual
MR. KERRY THOMAS NICKOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNC, FNP
Contact information
Practice address
760 PEIGAN STREET, BROWNING, MT 59417
(406) 338-6366
(406) 338-6379
Mailing address
60 HEART BUTTE CUT OFF, P.O. BOX 209, EAST GLACIER PARK, MT 59434
(406) 226-9271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 19752
MT
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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