Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kim Nickelson, MD

Individual provider Internal Medicine Physician · NPI 1861473589

Dr. Kim Nickelson, MD is an Internal Medicine Physician in Plantation, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 NW 84th Ave Ste 101
Plantation, FL 33324-1807
Phone: (954) 581-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 499 Nw 70th Ave, Plantation, FL 33317-7500 — (954) 581-1900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA50822 (FL)

Record details

NPI number1861473589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2005
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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