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Nicholas Province

NPI 1578431664 · on the registry since 2025

Practice

Address
3808 4th Ave
Kearney, NE 68845
Phone
(308) 870-0469
Clinicians at this address
2

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-29

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 Nebraska