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Contact Information

MATTHEW NICHOLS, MD
650 JOEL DR
FORT CAMPBELL, KY42223-5318
 Phone: 270-401-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MATTHEW NICHOLS · (Male)

NPI # 1447819966
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2019
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101276534
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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