Ken Nichols, P.A

NPI #1447350574 in Angleton, Texas

Provider Information

NPI Number: 1447350574
Entity Type: Individual
Name: Ken Nichols, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: Sep 25, 2006
Last Updated: Sep 7, 2011

Practice Location

Address: 2327 E MULBERRY ST
City: Angleton
State: Texas
ZIP Code: 77515-3804
Phone: (979) 848-8070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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