D'Agostino, Kym E

D'Agostino, Kym E is an sole proprietor health care provider with primary practice located at 1 Turkey Hill Rd S Ste 100 , Westport CT 06880-5525. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. D'Agostino, Kym E can be contacted via phone (203) 464-9377.

Contact Information

Primary practice address
1 Turkey Hill Rd S Ste 100 Westport CT 06880-5525
Phone: (203) 464-9377
Fax: (203) 341-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 002931 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002931 Connecticut

Profile Details

NPI number 1538172218
LBN Legal business name D'Agostino, Kym E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Aug 14th, 2023 - about 2 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 1538172218 NPPES
Connecticut MEDICAID 008043767

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