Provider Demographics
NPI:1861453946
Name:NICKELL, MARGARET B (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:B
Last Name:NICKELL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4320 WORNALL RD
Mailing Address - Street 2:SUITE 720
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5941
Mailing Address - Country:US
Mailing Address - Phone:816-531-2111
Mailing Address - Fax:816-531-6025
Practice Address - Street 1:4320 WORNALL RD
Practice Address - Street 2:SUITE 720
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-531-2111
Practice Address - Fax:816-531-6025
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR8A49207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOC50934Medicare UPIN