Kimberly Marie Nicholls in Bellaire - Physician Assistant
Kimberly Marie Nicholls - NPI 1467407106
Kimberly Marie Nicholls is a Physician Assistant in Bellaire, Michigan. Kimberly Marie Nicholls practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Marie Nicholls is 1467407106. The last update date is 2023-03-07.
Kimberly Marie Nicholls's current location address is 4543 S M 88 Hwy, Bellaire, Michigan. You can contact this provider via phone number 2315338661 and fax number 2315336028. The mailing address for Kimberly Marie Nicholls is 4543 S M 88 Hwy, Bellaire, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Marie Nicholls |
|---|---|
| Address | 4543 S M 88 Hwy, Bellaire, Michigan |
| Phone Number | 2315338661 |
| Fax Number | 2315336028 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1467407106 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4543 S M 88 Hwy |
|---|---|
| City | Bellaire |
| State | Michigan (MI) |
| Post Code | 496159109 |
| Phone Number | 2315338661 |
| Fax Number | 2315336028 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004234 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601004234 | MI | PA LICENSE |
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What is the unique identification code assigned to Kimberly Marie Nicholls by the Centers for Medicare & Medicaid Services?
The Kimberly Marie Nicholls has been issued the NPI (National Provider Identifier) 1467407106. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberly Marie Nicholls located?
The Kimberly Marie Nicholls is located at 4543 S M 88 Hwy, Bellaire, MI 496159109.
What is Kimberly Marie Nicholls's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberly Marie Nicholls's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1467407106 assigned to Kimberly Marie Nicholls?
The Kimberly Marie Nicholls was issued its 1467407106 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kimberly Marie Nicholls most recently updated or revised?
The information pertaining to Kimberly Marie Nicholls, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.