Search › Illinois › 101YP2500X
Nicole Kough
NPI 1841681863 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1121 N 6th St
Vandalia, IL 62471 - Phone
- (618) 283-2222
- Fax
- (844) 270-4161
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-09
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 Illinois