Individual
MEREDITH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 W MAIN ST STE 100, WATERBURY, CT 06708-3105
(203) 597-9100
Mailing address
1201 W MAIN ST STE 100, WATERBURY, CT 06708-3105
(203) 597-9100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
308719
NY
207W00000X
Ophthalmology Physician
Primary
73884
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2017
Last updated
04/15/2025
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