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Kelly Nicol, DO
Student in an Organized Health Care Education/Training Program in Richmond, Virginia
NPI 1215505383

Kelly Nicol is a Student in an Organized Health Care Education/Training Program based in Richmond, VA. Kelly Nicol practices in Richmond, VA and has the professional credentials of DO. The NPI Number for Kelly Nicol is 1215505383 and holds a License No. (Virginia).

The current practice location address for Kelly Nicol is 417 N 11Th St # 980599, Richmond, VA and can be reached out via phone at 804-828-9350.

Location: 417 N 11Th St # 980599, Richmond, VA, 23298-4315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215505383
Provider Name
Kelly Nicol
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
417 N 11Th St # 980599, Richmond, VA, 23298-4315
Phone Number
804-828-9350
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
417 N 11Th St # 980599
City
Richmond
State
Virginia
Zip
23298-5024
Phone Number
804-828-9350
Fax Number
person
Provider Business Mailing Address Details
Address
417 N 11Th St # 980599
City
Richmond
State
Virginia
Zip
23298-5024
Phone Number
804-828-9350
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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