Martha Kenyon Nicholson
MD | Pediatric Cardiology | Female
Martha Kenyon Nicholson, MD is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Martha Kenyon Nicholson is
725 Welch Rd, Palo Alto, California - 94304-1601. She can be contacted on phone at
650-497-8000.
Martha Kenyon Nicholson is a sole proprietor of her business.
NPI number (Unique professional ID) for Martha Kenyon Nicholson is
1578637880 which was assigned by NPPES on 20 Nov, 2006 and it was last updated on 10 Apr, 2023.
Martha Kenyon Nicholson license number is
A63320 for Pediatrics, Pediatric Cardiology (2080P0202X) in California.
Martha Kenyon Nicholson provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Martha Kenyon Nicholson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Cardiology |
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| Provider Name : | Martha Kenyon Nicholson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Martha Kenyon Nicholson 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 : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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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 : | 1578637880 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Nov, 2006 |
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| Last Updated On : | 10 Apr, 2023 |
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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 Martha Kenyon Nicholson are as mentioned. Primary taxonomy code for Martha Kenyon Nicholson, MD is
2080P0202X (Pediatrics, Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A63320 | CA |
| 2080P0202X | Pediatrics, Pediatric Cardiology | Yes | A63320 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Martha Kenyon Nicholson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A633200 | MEDICAID | CA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1425 S MAIN ST,
WALNUT CREEK, CA, 94596-5318
United States | WALNUT CREEK, CA | 925-295-4000 |
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 : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Business Location:
Patients can refer following map for directions to
Martha Kenyon Nicholson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.