Nichols, Kim Myruth

Nichols, Kim Myruth is an sole proprietor health care provider with primary practice located at 469 W Putnam Ave Suite 201, Greenwich CT 06830-6895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Nichols, Kim Myruth can be contacted via phone (203) 862-4000.

Contact Information

Primary practice address
469 W Putnam Ave Suite 201 Greenwich CT 06830-6895
Phone: (203) 862-4000
Fax: (203) 862-4008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 051631 Connecticut
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 239556 New York

Profile Details

NPI number 1679513212
LBN Legal business name Nichols, Kim Myruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jan 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679513212 NPPES
Connecticut Other 051631 STATE LICENSE

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