KENNETH NICKLE, DO

Family Medicine

Active Individual
NPI: 1790849081

Practice Address

555 JUSTIS DR
Greeneville, TN 37745

Phone: (423) 783-7965

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 2153 (TN)

Frequently Asked Questions

NPI 1790849081 is the National Provider Identifier for KENNETH NICKLE, DO, a Family Medicine provider located in Greeneville, TN. This NPI was enumerated on December 20, 2006.
KENNETH NICKLE, DO practices at 555 JUSTIS DR, Greeneville, TN 37745.

Quick Facts

NPI
1790849081
Type
Individual
Enumerated
Dec 20, 2006
Last Updated
Apr 17, 2018

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