Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY LYNN NICOLL, M.D.
Active Sole ProprietorDR. KIMBERLY LYNN NICOLL, M.D. is a Multi-Specialty Clinic healthcare provider located in LANSDOWNE, Virginia. NPI 1679758809 is currently active in the NPPES registry. Verify at CMS.
Multi-Specialty Clinic · LANSDOWNE, VA
Registration Details
- NPI Number
- 1679758809
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2008 (18.61860288625 yrs)
- Last Updated
- Sep 10, 2025
- License
-
0101249379 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19415 DEERFIELD AVE STE 209LANSDOWNE, VA, 201768471Browse VA providers · Browse ZIP 20176
- Phone
- 5713756712
- Primary Specialty
-
Multi-Specialty Clinic
261QM1300X
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.