Individual
ALEC JOHN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ARROWHEAD DR, KANSAS CITY, MO 64129-1651
(913) 334-8719
Mailing address
16228 JUNIPER ST, OVERLAND PARK, KS 66085-8530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019025955
MO
Other
Enumeration date
06/03/2019
Last updated
02/19/2020
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