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William David Nickell, PA-C
Surgical Physician Assistant in Kettering, Ohio
NPI 1376826925

William David Nickell is a Surgical Physician Assistant based in Kettering, OH and is specialized in Surgical. William David Nickell practices in Kettering, OH and has the professional credentials of PA-C. The NPI Number for William David Nickell is 1376826925 and holds a License No. 003357 (Ohio).

The current practice location address for William David Nickell is 3533 Southern Blvd Ste 5650, Kettering, OH and can be reached out via phone at 937-294-3611 and via fax at 937-294-9010. You can also correspond with William David Nickell through the mailing address at 3533 SOUTHERN BLVD, KETTERING, OH - 45429-1264 (mailing address contact number: 937-294-3611).

Location: 3533 Southern Blvd Ste 5650, Kettering, OH, 45429-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376826925
Provider Name
William David Nickell
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3533 Southern Blvd Ste 5650, Kettering, OH, 45429-1264
Phone Number
937-294-3611
Fax Number
937-294-9010
Provider Enumeration Date
09/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0085670 05 OH
12286408 01 CIGNA/GREAT-WEST HEALTHCARE/SAGAMORE
institution
Provider Business Practice Location Address Details
Address
3533 Southern Blvd Ste 5650
City
Kettering
State
Ohio
Zip
45429-1263
Phone Number
937-294-3611
Fax Number
937-294-9010
person
Provider Business Mailing Address Details
Address
3533 Southern Blvd Ste 5650
City
Kettering
State
Ohio
Zip
45429-1263
Phone Number
937-294-3611
Fax Number
937-294-9010
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
003357 (Ohio)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
003357 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
003357 (Ohio)
Definition
Definition to come...
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