Individual
DR. CHARLES G NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1311 STRAWBERRY LN, LEXINGTON, KY 40502-2720
(859) 576-2050
Mailing address
1311 STRAWBERRY LN, LEXINGTON, KY 40502-2720
(859) 576-2050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64162951
—
KY
Enumeration date
07/05/2006
Last updated
06/24/2026
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