Individual
BO LA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
144 MORGAN ST STE 8, STAMFORD, CT 06905-5433
(203) 353-1123
Mailing address
10 PATTERSON RD, HAMDEN, CT 06518-2620
(203) 668-7347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12992
CT
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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