Individual ProviderKathleen P NicholsAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address6200 N La Cholla Blvd, Tucson, AZ 85741-3529(520) 226-4444(888) 206-5902PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen P Nichols does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033116462Provider TypeIndividualFull NameNichols, Kathleen PCredentialMDGenderFemaleSole ProprietorYesEnumeration Date6/30/2005Last Updated10/10/2017Contact InformationPractice LocationPractice Address6200 N La Cholla Blvd, Tucson, AZ 85741-3529Phone(520) 226-4444Fax(520) 226-8376Mailing LocationMailing AddressPO Box 52650, Mesa, AZ 85208-0133Phone(888) 206-5902Fax(480) 466-7536Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense20995Arizona