Individual
KRISTEN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 LEXINGTON AVE FL 10, NEW YORK, NY 10016-6020
(212) 335-0034
Mailing address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026168
NY
103T00000X
Psychologist
35SI00746300
NJ
103T00000X
Psychologist
4766
CT
Other
Enumeration date
08/05/2022
Last updated
01/07/2025
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