Kimberly Marie Nicholls, PAC

NPI #1467407106 in Bellaire, Michigan

Provider Information

NPI Number: 1467407106
Entity Type: Individual
Name: Kimberly Marie Nicholls, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 23, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 4543 S M 88 HWY
City: Bellaire
State: Michigan
ZIP Code: 49615-9109
Phone: (231) 533-8661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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