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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH ANDREW NICHOLS, M.D.

Active Sole Proprietor

KEITH ANDREW NICHOLS, M.D. is a Family Medicine healthcare provider located in OWEGO, New York. NPI 1124098785 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · OWEGO, NY

Registration Details

NPI Number
1124098785
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2006 (20.553907685503 yrs)
Last Updated
Oct 8, 2007
License
141416 (NY)
Sole Proprietor
Yes

Practice Information

Address
130 TEMPLE ST
SUITE 100
OWEGO, NY, 138271421
Browse NY providers · Browse ZIP 13827
Phone
6076875616
Fax
6076875989
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in OWEGO, NY

Name Credential NPI
RANDOLPH B COOKE MD 1588658926
DAVID E KWIATKOWSKI MD 1770578940
ARVIN LINDO ARANDA MD 1609864792
IAN STUPPEL DO 1710058524
DR. LISA NEWMAN DO 1861564742
MICHELLE LOMBARDO 1083008445
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.