Individual provider · Type 1 NPI

Gary L. Nicholson, MD

Hematology & Oncology Physician · Kettering, OH

NPI number 1407806474 Active

Practice location

3120 Governors Place Blvd
Kettering, OH 45409-1328

Mailing address

2264 Berrycreek Dr
Kettering, OH 45440-2621

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X35034705 (OH)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1407806474

Gary L. Nicholson, MD's National Provider Identifier is 1407806474, issued on May 11, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Kettering, OH. The record was last updated on Jul 13, 2026.