| NPI | 1215626213 |
|---|---|
| Professional Name | KEN L NICHOLSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 27318) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |