| Doctor Name: | DR. KAAREN ANDREA NICHOLS |
| NPI Number: | 1609009422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD00019367 |
| Business Practice Address: | 9757 Ne Juanita Dr Ste 200 Kirkland, WA - 980344291 |
| Business Phone Number: | 4255769272 |
| Business Fax Number: | 4255760894 |
| Mailing Address: | 9757 Ne Juanita Dr., Suite 200, KIRKLAND |
| State: | WA |
| Postal Code: | 98034 |
| Phone Number: | 4255769272 |
| Fax Number: | 4255760894 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 08/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00019367 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |