Search › Missouri › 208100000X

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