Individual
KYOUNGHAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVENUE, FARMIGNTON, CT 06030-8082
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVENUE, FARMIGNTON, CT 06030-8082
(860) 679-6600
(860) 679-6604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
006943
CT
Other
Enumeration date
07/11/2010
Last updated
09/20/2019
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