Nichols, Kensley

Nichols, Kensley is an individual health care provider with primary practice located at 2215 Landover Pl , Lynchburg VA 24501-2115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Nichols, Kensley can be contacted via phone (434) 947-3944.

Contact Information

Primary practice address
2215 Landover Pl Lynchburg VA 24501-2115
Phone: (434) 947-3944
Fax: (434) 544-2337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 048960 Connecticut
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 48960 Connecticut
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101261116 Virginia

Profile Details

NPI number 1407054745
LBN Legal business name Nichols, Kensley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2007
Last updated Nov 10th, 2016 - about 10 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 1407054745 NPPES
Connecticut Other 048960 CT LICENSE
Connecticut MEDICAID 1407054745 CT LICENSE

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