Individual provider · Type 1 NPI
Kimberly Lynn Nicoll, MD
Multi-Specialty Clinic/Center · Lansdowne, VA
NPI number
1679758809
Active
Practice location
19415 Deerfield Ave Ste 209
Lansdowne, VA 20176-8471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 0101249379 (VA) |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
About NPI 1679758809
Kimberly Lynn Nicoll, MD's National Provider Identifier is 1679758809, issued on Jan 7, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lansdowne, VA. The record was last updated on Sep 10, 2025.