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Dr. Robert Kenneth Nichols JR., MD
Specialist in Prattville, Alabama
NPI 1013069939

Robert Kenneth Nichols JR. is a Specialist based in Prattville, AL. Robert Kenneth Nichols JR. practices in Prattville, AL and has the professional credentials of MD. The NPI Number for Robert Kenneth Nichols JR. is 1013069939 and holds a License No. 12055 (Alabama).

The current practice location address for Robert Kenneth Nichols JR. is 120 E Main St, Prattville, AL and can be reached out via phone at 334-361-0986 and via fax at 334-361-1134.

Location: 120 E Main St, Prattville, AL, 36067-3114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013069939
Provider Name
Robert Kenneth Nichols JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 E Main St, Prattville, AL, 36067-3114
Phone Number
334-361-0986
Fax Number
334-361-1134
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C73810 01 AL UPNUMBER
institution
Provider Business Practice Location Address Details
Address
120 E Main St
City
Prattville
State
Alabama
Zip
36067-3114
Phone Number
334-361-0986
Fax Number
334-361-1134
person
Provider Business Mailing Address Details
Address
120 E Main St
City
Prattville
State
Alabama
Zip
36067-3114
Phone Number
334-361-0986
Fax Number
334-361-1134
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12055 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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