Individual
KRISTIN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, LMSW
Contact information
Practice address
3599 RAINBOW BLVD, KANSAS CITY, KS 66103-2078
(913) 588-6996
Mailing address
3599 RAINBOW BLVD, KANSAS CITY, KS 66103-2078
(913) 588-6996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13186
KS
225X00000X
Occupational Therapist
17-02433
KS
Other
Enumeration date
10/24/2017
Last updated
04/11/2024
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