Keith Andrew Nichols, M.D.

NPI #1124098785 in Owego, New York

Provider Information

NPI Number: 1124098785
Entity Type: Individual
Name: Keith Andrew Nichols, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jan 25, 2006
Last Updated: Oct 8, 2007

Practice Location

Address: 130 TEMPLE ST
Address 2: SUITE 100
City: Owego
State: New York
ZIP Code: 13827-1421
Phone: (607) 687-5616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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