NPI 1225258643 · live from the CMS NPI Registry
Kimberly May Eickhorst, MD
Dermatology in Newtown, CT. National Provider Identifier 1225258643, active.
NPI record
| NPI | 1225258643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470 |
| Practice phone | 203-792-4151 |
| Enumerated | April 26, 2007 |
| Last updated | May 22, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | PENDING (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.