Dylan Blade Nicholas, KCPSS
NPI #1073380184 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1073380184
- Entity Type
- Individual
- Name
- Dylan Blade Nicholas, KCPSS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- KCPSS
- Enumeration Date
- Dec 8, 2023
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 451 QUISENBERRY RD
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-8005
- Phone
- (270) 937-4898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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