Individual
DR. KIMBERLY LAUREN JOHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. PH.D
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-2100
(203) 200-2180
Mailing address
PO BOX 208040, DEPT OF THERAPEUTIC RADIOLOGY - YALE SCHOOL OF MEDICINE, NEW HAVEN, CT 06520-8040
(203) 200-2100
(203) 200-2180
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
051767
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2008
Last updated
04/09/2013
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