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Individual

KIM ANN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
1 HOPE ST, BRISTOL, CT 06010-6374
(860) 805-8154
Mailing address
1 HOPE ST, BRISTOL, CT 06010-6374
(860) 805-8154

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
89099
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16401
CT

Other

Enumeration date
06/22/2023
Last updated
02/22/2026
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