Keith a Nichols Md, Pllc

NPI #1346421211 in Owego, New York

Provider Information

NPI Number: 1346421211
Entity Type: Organization
Organization Name: Keith a Nichols Md, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 20, 2007
Last Updated: Nov 20, 2007

Practice Location

Address: 130 TEMPLE ST
Address 2: SUITE 100
City: Owego
State: New York
ZIP Code: 13827-1408
Phone: (607) 687-5616

Authorized Official

Name: JANE E NICHOLS
Title: BUSINESS MANAGER
Phone: (607) 687-5616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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