Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM MYRUTH NICHOLS, M.D.
Active Sole ProprietorDR. KIM MYRUTH NICHOLS, M.D. is a Dermatology healthcare provider located in GREENWICH, Connecticut. NPI 1679513212 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GREENWICH, CT
Registration Details
- NPI Number
- 1679513212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (20.201954161627 yrs)
- Last Updated
- Jan 6, 2014
- Licenses
-
051631 (CT)239556 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
469 W PUTNAM AVESUITE 201GREENWICH, CT, 068306895Browse CT providers · Browse ZIP 06830
- Phone
- 2038624000
- Fax
- 2038624008
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in GREENWICH, CT
| Name | Credential | NPI |
|---|---|---|
| MS. DIANA SUSAN HURWITZ | — | 1467438705 |
| DR. HENRY C GASIOROWSKI | MD | 1962504779 |
| DR. MICHELE E GASIOROWSKI | MD | 1356444533 |
| DR. RICHARD CHARLES CONNORS | M.D. | 1538209556 |
| DR. LYNNE M HAVEN | M. D. | 1215070917 |
| DR. JACQUELINE GOULART BERLINER | MD | 1982903449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.