Nickelson, Kim

Nickelson, Kim is an sole proprietor health care provider with primary practice located at 301 Nw 84Th Ave Ste 101 , Plantation FL 33324-1807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nickelson, Kim can be contacted via phone (954) 581-1900.

Contact Information

Primary practice address
301 Nw 84Th Ave Ste 101 Plantation FL 33324-1807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA50822 Florida

Profile Details

NPI number 1861473589
LBN Legal business name Nickelson, Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Sep 23rd, 2022 - about 4 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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