Active NPIIndividual providerSole proprietor

Dr. Kimberly L Johung, MD PHD

Healthcare Provider in New Haven, Connecticut

NPI Number1255505178
Practice location
20 York St, New Haven, CT 06510-3220
Fax
203-200-2180
Last updated
April 9, 2013

Kimberly Lauren Johung is a Healthcare Provider based in New Haven, CT. Kimberly Lauren Johung practices in New Haven, CT and has the professional credentials of MD PHD. The NPI Number for Kimberly Lauren Johung is 1255505178 and holds a License No. 051767 (CT). The current practice location address for Kimberly Lauren Johung is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-200-2100 and via fax at 203-200-2180.

Provider Profile Details

NPI Number
1255505178
Provider Name
Kimberly Lauren Johung
Credential
MD PHD
Provider Entity Type
Individual
Gender
Female
Address
20 York St, New Haven, CT 06510-3220
Phone Number
203-200-2100
Fax Number
203-200-2180
Primary Taxonomy
Healthcare Provider · 2085R0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2008
Last Update Date
April 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
New Haven, CT 06510-3220
Zip
06510-3220
Phone Number
203-200-2100
Fax Number
203-200-2180
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
Po Box 208040
Dept Of Therapeutic Radiology - Yale School Of Medicine
New Haven, CT 06520-8040
City
New Haven
State
CT
Zip
06520-8040
Phone Number
203-200-2100
Fax Number
203-200-2180

License Information

License Number (1)
051767
License State (1)
CT
Taxonomy (1)
· 2085R0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kimberly L Johung, MD PHD?

The NPI number of Dr. Kimberly L Johung, MD PHD is 1255505178. It was assigned on April 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kimberly L Johung, MD PHD?

Dr. Kimberly L Johung, MD PHD is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in CT under license number 051767.

Where does Dr. Kimberly L Johung, MD PHD practice?

The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-200-2100 (phone) or 203-200-2180 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255505178 directly on the NPPES registry website.

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