Carson, Kimi

Carson, Kimi is an individual health care provider with primary practice located at 75 Kings Highway Cutoff 5Th Floor, Fairfield CT 06824-5340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Carson, Kimi can be contacted via phone (203) 333-1133.

Contact Information

Primary practice address
75 Kings Highway Cutoff 5Th Floor Fairfield CT 06824-5340
Phone: (203) 333-1133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 002599 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002599 Connecticut

Profile Details

NPI number 1518925262
LBN Legal business name Carson, Kimi
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 1st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518925262 NPPES
Connecticut Other 060002599CT01 ANTHEM BLUE CROSS AND BLU
Connecticut MEDICAID 004248218 ANTHEM BLUE CROSS AND BLU

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