Kim, Agnes

Kim, Agnes is an individual health care provider with primary practice located at 263 Farmington Ave Cardiology, Farmington CT 06030-2202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Kim, Agnes can be contacted via phone (860) 679-3343.

Contact Information

Primary practice address
263 Farmington Ave Cardiology Farmington CT 06030-2202
Phone: (860) 679-3343
Fax: (860) 679-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 044570 Connecticut

Profile Details

NPI number 1255490348
LBN Legal business name Kim, Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 7th, 2022 - 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 1255490348 NPPES
Connecticut MEDICAID 1255490348

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