Individual
JU WON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1154
(860) 767-0145
Mailing address
400 W CAMPUS DR, ORANGE, CT 06477-3646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196260
CT
363LF0000X
Family Nurse Practitioner
Primary
15136
CT
Other
Enumeration date
04/18/2025
Last updated
07/30/2025
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