Individual
KATELYN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 TURN OF RIVER RD UNIT 12D, STAMFORD, CT 06905-1392
(914) 844-9588
Mailing address
180 TURN OF RIVER RD UNIT 12D, STAMFORD, CT 06905-1392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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