Kim Myruth Nichols, M.D. Valid NPI

Individual provider · Dermatology Physician · Greenwich, CT

NPI

1679513212

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

051631 (CT)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-06-08

Last updated

2014-01-06