KELLY L NICHOLSON

Dr KELLY L NICHOLSON is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2007.

Contact

10 PINCKNEY COLONY RD
SUITE 312
OKATIE
SC
299094148

Tel:

KELLY L NICHOLSON Information

Npi 1043424807
Pac Id 9931239191
Professional Enrollment Id I20150302001596
Last Name NICHOLSON
First Name KELLY
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 10 PINCKNEY COLONY RD
Line 2 Street Address SUITE 312
Marker Of Address Line 2 Suppression
City OKATIE
State SC
Zip Code 299094148
Phone Number
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Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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