| Keith A Nichols Md, Pllc | |
|
130 Temple St Suite 100 Owego NY 13827-1408 | |
| (607) 687-5616 | |
| Not Available |
| Full Name | Keith A Nichols Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Temple St, Owego, New York |
| Authorized Official Name and Position | Jane E Nichols (BUSINESS MANAGER) |
| Authorized Official Contact | 6076875616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Nichols Md, Pllc 130 Temple St Suite 100 Owego NY 13827-1408 Ph: (607) 687-5616 | Keith A Nichols Md, Pllc 130 Temple St Suite 100 Owego NY 13827-1408 Ph: (607) 687-5616 |
| NPI Number | 1346421211 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346421211 | NPI | - | NPPES |
| 00709866 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 141416-1 (New York) | Primary |
United Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 5th Ave, Owego, NY 13827 Phone: 607-687-0350 Fax: 607-687-0333 | |
Guthrie Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 North Ave, Owego, NY 13827 Phone: 607-687-6101 Fax: 607-687-5994 | |
Premise Health Of New York Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 State Route 17c, Owego, NY 13827 Phone: 607-751-3883 Fax: 607-751-6245 |