Active NPIIndividual providerSole proprietor

Dr. Kim M Nichols, MD

Dermatology in Greenwich, Connecticut

NPI Number1679513212
Practice location
469 W Putnam Ave, Suite 201, Greenwich, CT 06830-6895
Fax
203-862-4008
Last updated
January 6, 2014

Kim Myruth Nichols is a Dermatology based in Greenwich, CT. Kim Myruth Nichols practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Kim Myruth Nichols is 1679513212 and holds a License No. 051631 (CT). The current practice location address for Kim Myruth Nichols is 469 W Putnam Ave, Suite 201, Greenwich, CT 06830-6895 and can be reached out via phone at 203-862-4000 and via fax at 203-862-4008.

Provider Profile Details

NPI Number
1679513212
Provider Name
Kim Myruth Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
469 W Putnam Ave, Suite 201, Greenwich, CT 06830-6895
Phone Number
203-862-4000
Fax Number
203-862-4008
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2006
Last Update Date
January 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
469 W Putnam Ave
Suite 201
Greenwich, CT 06830-6895
Zip
06830-6895
Phone Number
203-862-4000
Fax Number
203-862-4008
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
469 W Putnam Ave
Suite 201
Greenwich, CT 06830-6895
City
Greenwich
State
CT
Zip
06830-6895
Phone Number
203-862-4000
Fax Number
203-862-4008

License Information

License Number (1)
051631
License State (1)
CT
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
239556
License State (2)
NY
Taxonomy (2)
Dermatology · 207N00000X

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 Dr. Kim M Nichols, MD?

The NPI number of Dr. Kim M Nichols, MD is 1679513212. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kim M Nichols, MD?

Dr. Kim M Nichols, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 051631.

Where does Dr. Kim M Nichols, MD practice?

The practice location is 469 W Putnam Ave, Suite 201, Greenwich, CT 06830-6895. The office can be reached at 203-862-4000 (phone) or 203-862-4008 (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 1679513212 directly on the NPPES registry website.

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