| NPI | 1801081658 |
|---|---|
| Former Name | KENDA L NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 75098) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OK R0075098) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133894) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2024-02-07 |