Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD-PHD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(781) 744-8480
(781) 744-3443
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(781) 744-8480
(781) 744-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251283
MA
2084A2900X
Neurocritical Care Physician
Primary
62559
CT
2084N0400X
Neurology Physician
261377
MA
Other
Enumeration date
06/13/2012
Last updated
07/16/2019
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