Individual
SA RANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TEMPLE ST STE 5A, NEW HAVEN, CT 06510-2745
(203) 785-3466
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
73292
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
11/01/2024
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