Individual
DR. JEFF SMITH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1023 KENTUCKY ST, LAWRENCE, KS 66044-2917
(785) 842-6500
(785) 843-3219
Mailing address
1023 KENTUCKY ST, LAWRENCE, KS 66044-2917
(785) 842-6500
(785) 843-3219
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-17129
KS
208D00000X
General Practice Physician
04-17129
KS
Other
Enumeration date
12/14/2006
Last updated
09/29/2011
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