KATHRYN LOUISE NICKERSON

WINSTON SALEM, NC
NPI1053031526
Other NameKATHRYN NICKERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-15673)
Enumeration Date2022-09-02
Last Update Date2025-10-29
Business Address
KATHRYN LOUISE NICKERSON PA-C
114 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1522
Phone number: 336-765-5470
Mailing Address
KATHRYN LOUISE NICKERSON PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: