DR. Kim Nickelson, MD

NPI #1861473589 in Plantation, Florida

Provider Information

NPI Number: 1861473589
Entity Type: Individual
Name: DR. Kim Nickelson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 9, 2005
Last Updated: Sep 23, 2022

Practice Location

Address: 301 NW 84TH AVE STE 101
City: Plantation
State: Florida
ZIP Code: 33324-1807
Phone: (954) 581-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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