National Provider Identifier
Karen May Nickell, MD
Karen May Nickell, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Palmyra, NY and a listed phone number of (315) 502-4085.
Profile Overview
- NPI
- 1396704060
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 21, 2006
- Last Updated
- March 23, 2009
Practice Location
- 221 E Main St
- Palmyra, NY 14522-1127
Phone: (315) 502-4085
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1396704060
- Entity Type
- Individual
- Last Name
- Nickell
- First Name
- Karen
- Middle Name
- May
- Name Prefix
- Mrs.
- Credential
- MD
- Provider Other Last Name
- Mang
- Provider Other First Name
- Karen
- Provider Other Middle Name
- May
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 221 E Main St
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1127
- Mailing Country
- US
- Mailing Phone
- (315) 502-4085
- Mailing Fax
- (315) 502-4086
- Practice Street Address
- 221 E Main St
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1127
- Practice Country
- US
- Practice Phone
- (315) 502-4085
- Practice Fax
- (315) 502-4086
- Enumeration Date
- March 21, 2006
- Last Updated
- March 23, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01914272 (NY), P010212521 (NY, Blue Choice), 1142 (NY, Blue Cross/Blue Shield), MDE045 (NY, Preferred Care)