Flood Nichols, Shannon Kerry

Flood Nichols, Shannon Kerry is an individual health care provider with primary practice located at 6071 E Woodmen Rd Ste 440 , Colorado Springs CO 80923-2614. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Flood Nichols, Shannon Kerry can be contacted via phone (719) 571-4590.

Contact Information

Primary practice address
6071 E Woodmen Rd Ste 440 Colorado Springs CO 80923-2614
Phone: (719) 571-4590
Fax: (719) 571-4591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X DR.0067191 Colorado
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X OP 60410163 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 414 Nebraska

Profile Details

NPI number 1912971573
LBN Legal business name Flood Nichols, Shannon Kerry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Nov 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912971573 NPPES
Colorado MEDICAID 9000196236

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