Individual
ROBERT R NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8798
(620) 223-8040
(620) 223-8524
Mailing address
403 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8798
(620) 223-8040
(620) 223-8002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0417312
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165410B
—
KS
Enumeration date
11/11/2005
Last updated
01/15/2008
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