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

Mrs. Kim McNichol

Individual provider Family Nurse Practitioner · NPI 1508269291

Mrs. Kim McNichol is a Nurse Practitioner in Bordentown, New Jersey. Qualified in 2000, 26 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
26
Licensed in
NJ
In the registry since
2014
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Practice location Address checks out

3242 Route 206 Ste A2
Bordentown, NJ 08505-4517
Phone: (609) 298-4340
Fax: (609) 298-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00519900 (NJ)

Record details

NPI number1508269291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bordentown