Individual
MIJUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
37 PINE RDG, WOODBRIDGE, CT 06525-1814
(609) 489-9685
Mailing address
37 PINE RDG, WOODBRIDGE, CT 06525-1814
(609) 489-9685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9089
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
9089
CT
Other
Enumeration date
09/22/2020
Last updated
04/07/2022
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