Kyounghae Kim, APRN is a
Nurse Practitioner - Adult Health based in Farmignton, Connecticut. Kyounghae Kim is licensed to practice in Connecticut (license number 006943) and her current practice location is
263 Farmington Avenue, Farmignton, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 679-6600.
NPI number for Kyounghae Kim is 1942512512 and her current mailing address is 263 Farmington Avenue, Farmignton, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942512512.
Provider's Profile
Full Name | Kyounghae Kim |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 263 Farmington Avenue, Farmignton, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942512512
- Provider Enumeration Date: 07/11/2010
- Last Update Date: 09/20/2019
Medical Identifiers
Medical identifiers for Kyounghae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942512512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 006943 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyounghae Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyounghae Kim, APRN 263 Farmington Avenue, Farmignton, CT 06030-8082 Ph: (860) 679-6600 | Kyounghae Kim, APRN 263 Farmington Avenue, Farmignton, CT 06030-8082 Ph: (860) 679-6600 |
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