Search › Arizona › 163W00000X
Kevin Nicholson
NPI 1538725353 · on the registry since 2019
Practice
- Address
- 2152 S Vineyard Ste 131
Mesa, AZ 85210 - Phone
- (855) 538-9355
- Fax
- (844) 538-9355
- Organisation at this address
- Eclipse Psychiatry
Vijay S Gill M D P C
American Health Group
Pueblo Pediatrics Ltd
American Health GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Additional practice sites
- 3130 N Swan Rd, Tucson, AZ
- 7261 S Broadway Ste 10l, Littleton, CO
- 34709 9th Ave S Ste B200, Federal Way, WA
- 11995 County Road 11 Ste 220, Burnsville, MN
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona