Individual
DONGHYEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 SLATER RD, NEW BRITAIN, CT 06053-2646
(959) 444-6350
Mailing address
15 KENT CT UNIT 3, ASHFORD, CT 06278-1511
(959) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
12/15/2023
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