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Gary Nickel, Od, Pa
Durable Medical Equipment & Medical Supplies in Independence, Kansas
NPI 1538309620

Gary Nickel, Od, Pa is a Durable Medical Equipment & Medical Supplies based in Independence, KS. Gary Nickel, Od, Pa practices in Independence, KS. The NPI Number for Gary Nickel, Od, Pa is 1538309620 and holds a License No. 09562 (Kansas).

The current practice location address for Gary Nickel, Od, Pa is 404 N 14Th St, Independence, KS and can be reached out via phone at 620-331-0910 and via fax at 620-331-2121.

Location: 404 N 14Th St, Independence, KS, 67301-0474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538309620
Provider Name
Gary Nickel, Od, Pa
Credential
Provider Entity Type
Organization
Address
404 N 14Th St, Independence, KS, 67301-0474
Phone Number
620-331-0910
Fax Number
620-331-2121
Provider Enumeration Date
03/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100090130B 05 KS
institution
Provider Business Practice Location Address Details
Address
404 N 14Th St
City
Independence
State
Kansas
Zip
67301-2909
Phone Number
620-331-0910
Fax Number
620-331-2121
person
Provider Business Mailing Address Details
Address
404 N 14Th St
City
Independence
State
Kansas
Zip
67301-2909
Phone Number
620-331-0910
Fax Number
620-331-2121
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
09562 (Kansas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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