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

KIM RICHARD NICOLA, M.D.

Active Sole Proprietor

KIM RICHARD NICOLA, M.D. is a Specialist healthcare provider located in KENNESAW, Georgia. NPI 1770608267 is currently active in the NPPES registry. Verify at CMS.

Specialist · KENNESAW, GA

Registration Details

NPI Number: 1770608267
Provider Type: Individual
Gender: Male
NPI Issued: Mar 21, 2007 (19.361575331915 yrs)
Last Updated: Jan 15, 2008
License: 027881 (GA)
Sole Proprietor: Yes

Practice Information

Address: 2928 BUSBEE PKWY NW

530

KENNESAW, GA, 301444820
Browse GA providers · Browse ZIP 30144
Phone: 7706274950
Fax: 7706274950
Primary Specialty: Specialist
174400000X

Other Specialist Providers in KENNESAW, GA

Name	Credential	NPI
STEPHANIE MOORE	L.M.P.	1548481682
DR. JAYNE THENISE MIDDLEBROOKS	M.D.	1558578070
DR. HAROLD WENDELL PITTS	MD	1477752061
MS. SUZETTE KAREN WILSON	CMA,PCT,LMT	1407170475
MS. MARY D HUTTON	L.M.T., N.C.T.M.	1114207164
VALERIE BRANNON ALUISY	PT	1750717096

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.