Dr. Katherine Marie Nichols
M.D. | Pediatric Emergency Medicine | Female
Dr. Katherine Marie Nichols, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Katherine Marie Nichols is
100 Mallard Creek Rd, Ste 406, Louisville, Kentucky - 40207-4194. She can be contacted on phone at
502-895-4607 and fax number 502-895-4586.
Dr. Katherine Marie Nichols is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Katherine Marie Nichols is
1295991313 which was assigned by NPPES on 29 Jul, 2008 and it was last updated on 15 Mar, 2017.
Dr. Katherine Marie Nichols license number is
44258 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Kentucky.
Dr. Katherine Marie Nichols has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Katherine Marie Nichols basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Katherine Marie Nichols |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Katherine Marie Nichols address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Mallard Creek Rd, Ste 406
Louisville, KY, 40207-4194
United States |
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| Phone Number : | 502-895-4607 |
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| Fax Number : | 502-895-4586 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295991313 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jul, 2008 |
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| Last Updated On : | 15 Mar, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katherine Marie Nichols are as mentioned. Primary taxonomy code for Dr. Katherine Marie Nichols, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 44258 | KY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 44258 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Katherine Marie Nichols such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100164170 | MEDICAID | KY | |
| 201028960 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Mallard Creek Rd, Ste 406
Louisville, KY, 40207-4194
United States |
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| Phone Number : | 502-895-4607 |
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| Fax Number : | 502-895-4586 |
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Business Location:
Patients can refer following map for directions to
Dr. Katherine Marie Nichols practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.