Dr. Katherine Marie Nichols
Pediatrician Pediatric Emergency Doctor
100 Mallard Creek Rd Ste 406
Louisville
, Kentucky 40207-4194
Dr. Katherine Marie Nichols
Pediatrician Pediatric Emergency Doctor
100 Mallard Creek Rd Ste 406
Louisville
, Kentucky 40207-4194
(502) 895-4586
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Katherine Marie Nichols
- 100 Mallard Creek Rd Ste 406
- Louisville, KY
- Zip : 40207-4194
- Fax : (502) 895-4586
- Phone : (502) 895-4607
Second Address
- Dr. Katherine Marie Nichols
- 100 Mallard Creek Rd Ste 406
- Louisville, KY
- Zip : 40207-4194
- Fax : (502) 895-4586
- Phone : (502) 895-4607
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 44258 | KY |
| Y | 2080P0204X | Pediatric Emergency Doctor | 44258 | KY |
National Provider Identifier
| NPI | 1295991313 |
|---|---|
| Provider Name | Dr. Katherine Marie Nichols |
| First Address | Louisville, KY 40207-4194 |
| Second Address | Louisville, KY 40207-4194 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2008 |
| Last Update Date | 15/03/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201028960 | (05) | IN |
| 7100164170 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.