Katherine Dawn Nickerson, O.D.

NPI #1881079192 in Bangor, Maine

Provider Information

NPI Number: 1881079192
Entity Type: Individual
Name: Katherine Dawn Nickerson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 28, 2015
Last Updated: Oct 5, 2015

Practice Location

Address: 35 STATE HOSPITAL DR
City: Bangor
State: Maine
ZIP Code: 04401-8816
Phone: (207) 561-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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