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Nickolas Mccollum, PTA
NPI 1922685957 · on the registry since 2021
Practice
- Address
- 5901 Nw 63rd Ter Ste 50
Kansas City, MO 64151 - Phone
- (816) 589-6234
- Organisation at this address
- Hall Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-25
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 Missouri