Active NPIIndividual provider

Kelly M Nichols, MD

Obstetrics & Gynecology in Portland, Maine

NPI Number1629462627
Practice location
887 Congress St Ste 200, Portland, ME 04102-3166
Fax
207-771-7834
Last updated
October 14, 2026

Kelly M Nichols is an Obstetrics & Gynecology based in Portland, ME. Kelly M Nichols practices in Portland, ME and has the professional credentials of MD. The NPI Number for Kelly M Nichols is 1629462627 and holds a License No. MD27355 (ME). The current practice location address for Kelly M Nichols is 887 Congress St Ste 200, Portland, ME 04102-3166 and can be reached out via phone at 207-771-5549 and via fax at 207-771-7834.

Provider Profile Details

NPI Number
1629462627
Provider Name
Kelly M Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
887 Congress St Ste 200, Portland, ME 04102-3166
Phone Number
207-771-5549
Fax Number
207-771-7834
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2015
Last Update Date
October 14, 2026
Certification Date
October 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
887 Congress St Ste 200
Portland, ME 04102-3166
State
Maine
Zip
04102-3166
Phone Number
207-771-5549
Fax Number
207-771-7834
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
887 Congress St Ste 200
Portland, ME 04102-3166
City
Portland
State
ME
Zip
04102-3166
Phone Number
207-771-5549
Fax Number
207-771-7834

License Information

License Number (1)
MD27355
License State (1)
ME
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X · Primary
License Number (2)
279258
License State (2)
MA
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly M Nichols, MD?

The NPI number of Kelly M Nichols, MD is 1629462627. It was assigned on March 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Kelly M Nichols, MD?

Kelly M Nichols, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in ME under license number MD27355.

Where does Kelly M Nichols, MD practice?

The practice location is 887 Congress St Ste 200, Portland, ME 04102-3166. The office can be reached at 207-771-5549 (phone) or 207-771-7834 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629462627 directly on the NPPES registry website.

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