Mims, Kim

Mims, Kim is an individual health care provider with primary practice located at 865 Laurel Ave , Bridgeport CT 06604-2406. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mims, Kim can be contacted via phone (203) 854-6667.

Contact Information

Primary practice address
865 Laurel Ave Bridgeport CT 06604-2406
Phone: (203) 854-6667
Fax: (203) 549-8683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X # HCA.0000365 Connecticut

Profile Details

NPI number 1215162425
LBN Legal business name Mims, Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 16 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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