KENNY L NICHOLSON

ANDERSON, SC
NPI1215626213
Professional NameKEN L NICHOLSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  27318)
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
KENNY L NICHOLSON MSN, APRN, PMHNP-BC
125 MUDDY TOES DR
ANDERSON, SC 29626-5349
Phone number: 864-353-3384
Mailing Address
KENNY L NICHOLSON MSN, APRN, PMHNP-BC
113 SHADOWOOD CT
SENECA, SC 29678-1275
Phone number: 864-985-3915
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