Individual provider · Type 1 NPI
Katherine Nickell, MPAS, PA-C
Medical Physician Assistant · Dallas, TX
NPI number
1619301561
Active
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | #PA 08198 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1619301561
Katherine Nickell, MPAS, PA-C's National Provider Identifier is 1619301561, issued on Aug 28, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jan 14, 2014.