KIMBERLY JU KIM (NPI# 1962686824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962686824 |
| Entity Type | Individual |
| Full Name | KIMBERLY JU KIM |
| Credential | M.D., M.P.H. |
| Practice Address |
820 C Prospect Hill Road Windsor CT 06095 |
| Practice Telephone | 8602858251 |
| Practice Fax Number | 8606871774 |
| Mailing Telephone | 8602858251 |
| Mailing Fax Number | 8606871774 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
046884 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679738975 | Kimberly H Kim | Dentist | 1702 Miramonte Ave. Suite B, Mountain View, CA 94040 | 2008-07-25 |
| 1174007488 | Kimberly A. Kim | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2018-09-21 |
| 1336680834 | Kimberly Kim | Optometrist | 23055 Coolidge Hwy, Oak Park, MI 48237-2071 | 2017-03-16 |
| 1093083735 | Kimberly Kim | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2011-12-08 |
| 1568539476 | Kimberly H. Kim | Internal Medicine | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-11-29 |
| 1790712115 | Kimberly Kim | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-06-28 |
| Street Address |
820 C PROSPECT HILL ROAD |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| 1497839849 | Matthew Alan Marci | Technician/Technologist | 192 Broad St, Windsor, CT 06095 | 2006-10-24 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016502 | J Christopher Schuck | Pediatrics | 820 Prospect Hill Rd, Windsor, CT 06095-1559 | 2006-03-14 |
| 1659349835 | Marilyn A Bacon | Pediatrics | 820c Prospect Hill Rd, Windsor, CT 06095 | 2006-03-14 |
| 1003883992 | Asha V Manaktala | Pediatrics | 820c Prospect Hill Road, Windsor, CT 06095 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| 1942319157 | Margaret M O'neill | Pediatrics | 970 Farmington Ave Ste 201, West Hartford, CT 06107-2134 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.