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

Kristie Beth Nichols, MD

Individual provider Family Medicine Physician · NPI 1154483501

Kristie Beth Nichols, MD is a Family Practice in Conshohocken, Pennsylvania. Graduated from State University of Ny Upstate Medical University in 2006, 20 years ago. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
State University of Ny Upstate Medical University
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1100 E Hector St Ste 105
Conshohocken, PA 19428-2374
Phone: (610) 828-2608
Fax: (610) 828-0102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD435394 (PA)

Record details

NPI number1154483501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESSeptember 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Conshohocken