Individual
TANN A NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
544 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3400
(513) 221-1100
(859) 341-3913
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35.090865
OH
207T00000X
Neurological Surgery Physician
Primary
41374
KY
Other
Enumeration date
01/08/2008
Last updated
05/26/2020
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