Kimberly A Nicholson in Fort Myers - Pediatrics
Kimberly A Nicholson - NPI 1629127188
Kimberly A Nicholson is a Pediatrics in Fort Myers, Florida. Kimberly A Nicholson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly A Nicholson is 1629127188. The last update date is 2020-08-21.
Kimberly A Nicholson's current location address is 9350 Camelot Dr, Fort Myers, Florida. You can contact this provider via phone number 2394815437 and fax number 2394810571. The mailing address for Kimberly A Nicholson is 9350 Camelot Dr, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly A Nicholson |
|---|---|
| Address | 9350 Camelot Dr, Fort Myers, Florida |
| Phone Number | 2394815437 |
| Fax Number | 2394810571 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629127188 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-08-21 |
Provider Mailing Address Detail
| Address | 9350 Camelot Dr |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339197980 |
| Phone Number | 2394815437 |
| Fax Number | 2394810571 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | ME102851 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93132 | FL | BCBS FLORIDA | |
| 607900 | FL | -- |
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What is the Kimberly A Nicholson's unique identification number?
The Kimberly A Nicholson has been assigned the NPI (National Provider Identifier) Number 1629127188 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kimberly A Nicholson located?
The Kimberly A Nicholson is located at 9350 Camelot Dr, Fort Myers, FL 339197980.
What is the Kimberly A Nicholson's specialty and taxonomy code?
The Kimberly A Nicholson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Kimberly A Nicholson receive its 1629127188?
The Kimberly A Nicholson was issued its 1629127188 on 2007-01-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kimberly A Nicholson most recently updated or revised?
The information pertaining to Kimberly A Nicholson, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-21.