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

NICHOLAS SMALL

Active Sole Proprietor

Children's Substance Abuse Rehabilitation Facility · KENNETT, MO

Registration Details

NPI Number
1437565702
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2014 (11.789213376111 yrs)
Last Updated
Jul 8, 2014
Sole Proprietor
Yes

Practice Information

Address
1109 JONES ST
KENNETT, MO, 638573824
Browse MO providers · Browse ZIP 63857
Phone
5738886545

Other Children's Substance Abuse Rehabilitation Facility Providers in KENNETT, MO

Name Credential NPI
SARAH DAILY 1811319932
LAURA CURRY 1346656519
KELSAE WYRICK 1326454695
GEORGE PIERCE 1427464791
HILARY HILL 1770965246
NICOLE HART 1609258904
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.