DR. KIM MYRUTH NICHOLS M.D.
NPI 1679513212
Dermatology in Greenwich, CT

Active since June 08, 2006
469 W PUTNAM AVE, SUITE 201, GREENWICH, CT 06830(203) 862-4000(203) 862-4008 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kim Myruth Nichols M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM MYRUTH NICHOLS M.D. (NPI 1679513212) is an individual dermatology provider in Greenwich, Connecticut, licensed in Connecticut (051631) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679513212
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KIM MYRUTH NICHOLSCredential: M.D.
Location Address469 W PUTNAM AVE, SUITE 201Greenwich, CT 06830-6895
Mailing Address469 W Putnam Ave, Suite 201Greenwich, CT 06830-6895 · (203) 862-4000 · Fax (203) 862-4008
Fax(203) 862-4008
Sole ProprietorYes
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 6, 2014
NPI 1679513212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in CT · 051631 Licensed in NY · 239556
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

469 W PUTNAM AVE, Greenwich, CT 06830

Other Identifiers 3

Medicare UPINI55552NY
Medicare ID-Type Unspecified3K8331NY
Other051631CT · State License

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Rehabilitation Unit
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE
GREENWICH, CT 06830
Physical Therapist
469 W PUTNAM AVE, SUITE 202
GREENWICH, CT 06830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Nichols's NPI number?

The NPI number for Kim Nichols is 1679513212. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Kim Nichols located?

Kim Nichols practices at 469 W Putnam Ave Suite 201, Greenwich, CT 06830. The listed phone number is (203) 862-4000.

What is Kim Nichols's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Kim Nichols was last updated on January 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.