License holder summary

Cameron Lake Nichols PA is a Physician Assistant licensed to practice in Arizona. The address on file for Cameron Lake Nichols PA is Blackridge Medical Center, Llc, 2438 Lillie Ave., Kingman AZ 86401. This licensed professional license is current. The license was granted 02/04/2010.

Arizona

Board of Licensing

Cameron Lake Nichols PA
Physician Assistant
License number
4598
Date granted
02/04/2010
Class
Physician Assistant
Status
Active
Address
Blackridge Medical Center, Llc, 2438 Lillie Ave., Kingman AZ 86401
arizonalicensing.com
ID 22725689
LAST UPDATED 2026-05-15 05:01:58 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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