Kim, Christi Young-Ah

Kim, Christi Young-Ah is an individual health care provider with primary practice located at 230 Waterford Pkwy S , Waterford CT 06385-1219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Kim, Christi Young-Ah can be contacted via phone (860) 444-3744.

Contact Information

Primary practice address
230 Waterford Pkwy S Waterford CT 06385-1219
Phone: (860) 444-3744
Fax: (860) 271-4947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2822966 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 69562 Connecticut

Profile Details

NPI number 1053475673
LBN Legal business name Kim, Christi Young-Ah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 18th, 2021 - about 3 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 1053475673 NPPES
New York Other P01040768 RR MEDICARE
New York Other P4501305 RR MEDICARE
New York Other 120306000078 RR MEDICARE
New York Other 1003535P RR MEDICARE
New York Other 522CJ2 RR MEDICARE
New York Other WEZ3504051 RR MEDICARE
New York Other 3079995 RR MEDICARE
New York Other 7466892 RR MEDICARE
New York Other 10053770301 RR MEDICARE
New York Other 2417484 RR MEDICARE
New York MEDICAID 02822966 RR MEDICARE
New York Other 24232801 RR MEDICARE
New York Other 998725 RR MEDICARE

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