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1255726097
KODY A NICHOLS
FAYETTEVILLE, AR
NPI
1255726097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AR E-11455)
Enumeration Date
2015-03-30
Last Update Date
2024-03-15
Business Address
Dr. KODY A NICHOLS M.D.
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703-4815
Phone number: 479-442-7322
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Mailing Address
Dr. KODY A NICHOLS M.D.
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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