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Contact Information

KELLY A NICKOLS, RN
117 W. TUNNELL
SANTA MARIA, CA93454
 Phone: 805-614-4940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KELLY A NICKOLS · (Female)

NPI # 1629390794
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/17/2010
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 707962
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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