MEDICARE: NICOLE BICHIR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	51205	KY

General Provider Information

NPI Number	:	1225275803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE BICHIR

Provider Business Mailing Address
First Line	:	6804 FOXCROFT RD
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-9415
Country	:	US
Telephone Number	:	859-380-1341
Fax Number	:

Provider Business Practice Location Address
First Line	:	4465 ALEXANDRIA PIKE
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-1901
Country	:	US
Telephone Number	:	859-635-5272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2009
Last Update Date	:	05/08/2025

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Directions to “ NICOLE BICHIR ” Practice Location

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