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Individual

DR. JOHN PAUL KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
16 CORONA DR, MILFORD, CT 06460-3509

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
225473
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
049314
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
239512
MA

Other

Enumeration date
02/15/2008
Last updated
11/23/2010
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