Individual
DR. KANI LOUISE NICOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
167 E CHESTNUT ST, ASHEVILLE, NC 28801-2339
(828) 251-2426
(828) 251-2550
Mailing address
167 E CHESTNUT ST, ASHEVILLE, NC 28801-2339
(828) 251-2426
(828) 251-2550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37146
CA
122300000X
Dentist
Primary
5862
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37146
CALIFORNIA DENTAL LICENSE
CA
01
—
5862
NC STATE DENTAL LICENSE
NC
05
—
8996435
—
NC
Enumeration date
07/21/2006
Last updated
07/08/2007
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