Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENZIE ANN NICHOLS
ActiveKENZIE ANN NICHOLS is a Physician Assistant healthcare provider located in PINE BLUFFS, Wyoming. NPI 1417642687 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PINE BLUFFS, WY
Registration Details
- NPI Number
- 1417642687
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2023 (3.1775378934388 yrs)
- Last Updated
- Oct 17, 2025
Practice Information
- Address
-
830 SANDERS DRPINE BLUFFS, WY, 820829755Browse WY providers · Browse ZIP 82082
- Phone
- 3075757835
- Primary Specialty
-
Physician Assistant
363A00000X
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.