Dr KEITH A NICHOLS MD is a male medical professional, specializing in Family Medicine. He graduated in 1978 from State University Of New York Health Science Center Of Syracuse.
130 TEMPLE ST
SUITE 100
OWEGO
NY
138271408
Tel:
| Npi | 1124098785 |
| Pac Id | 0547288094 |
| Professional Enrollment Id | I20051103000659 |
| Last Name | NICHOLS |
| First Name | KEITH |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | |
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| Number Of Group Practice Members | |
| Line 1 Street Address | 130 TEMPLE ST |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | OWEGO |
| State | NY |
| Zip Code | 138271408 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330394 |
| Hospital Affiliation Lbn 1 | UNITED HEALTH SERVICES HOSPITALS, INC |
| Hospital Affiliation Ccn 2 | 330011 |
| Hospital Affiliation Lbn 2 | LOURDES HOSPITAL |
| Hospital Affiliation Ccn 3 | 390079 |
| Hospital Affiliation Lbn 3 | ROBERT PACKER HOSPITAL |
| Hospital Affiliation Ccn 4 | |
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| Professional Accepts Medicare Assignment | Y |
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