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

Keith Andrew Nichols, MD

Individual provider Family Medicine Physician · NPI 1124098785

Keith Andrew Nichols, MD is a Family Medicine Physician in Owego, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

130 Temple St Ste 100
Owego, NY 13827-1421
Phone: (607) 687-5616
Fax: (607) 687-5989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 141416 (NY)

Record details

NPI number1124098785
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESOctober 8, 2007

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