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Kelly Theresa Nichols
Pediatric Registered Nurse in North Tonawanda, New York
NPI 1710613120

Kelly Theresa Nichols is a Pediatric Registered Nurse based in North Tonawanda, NY and is specialized in Pediatrics. Kelly Theresa Nichols practices in North Tonawanda, NY. The NPI Number for Kelly Theresa Nichols is 1710613120 and holds a License No. 802681 (New York).

The current practice location address for Kelly Theresa Nichols is 526 Euclid Ave, North Tonawanda, NY and can be reached out via phone at 716-472-5649.

Location: 526 Euclid Ave, North Tonawanda, NY, 14120-4205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710613120
Provider Name
Kelly Theresa Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
526 Euclid Ave, North Tonawanda, NY, 14120-4205
Phone Number
716-472-5649
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
526 Euclid Ave
City
North Tonawanda
State
New York
Zip
14120-4205
Phone Number
716-472-5649
Fax Number
person
Provider Business Mailing Address Details
Address
526 Euclid Ave
City
North Tonawanda
State
New York
Zip
14120-4205
Phone Number
716-472-5649
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
802681 (New York)
Definition
Definition to come...
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