Dylan Blade Nicholas, KCPSS
Dylan Blade Nicholas, KCPSS is a Peer Specialist in Campbellsville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.
- Licensed in
- KY
- In the registry since
- 2023
Practice location Address checks out
451 Quisenberry RdCampbellsville, KY 42718-8005
Phone: (270) 937-4898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 1208146 (KY) |
|---|
Record details
| NPI number | 1073380184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | KCPSS |
| Sole proprietor | No |
| NPI enumerated | December 8, 2023 |
| Last updated in NPPES | December 8, 2023 |
| Certification date | December 8, 2023 |
| Mailing address | 109 Kensington Way, Campbellsville, KY 42718-9548 |
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