person
Byeongjik Kim
Student in an Organized Health Care Education/Training Program in Manchester, Connecticut
NPI 1740863745

Byeongjik Kim is a Student in an Organized Health Care Education/Training Program based in Manchester, CT. Byeongjik Kim practices in Manchester, CT. The NPI Number for Byeongjik Kim is 1740863745 and holds a License No. (Connecticut).

The current practice location address for Byeongjik Kim is 194 Buckland Hills Dr, Manchester, CT and can be reached out via phone at 860-644-0099.

Location: 194 Buckland Hills Dr, Manchester, CT, 06042-8705
person
Provider Profile Details
NPI Number
1740863745
Provider Name
Byeongjik Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
194 Buckland Hills Dr, Manchester, CT, 06042-8705
Phone Number
860-644-0099
Fax Number
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GD60840B 05 NY
institution
Provider Business Practice Location Address Details
Address
194 Buckland Hills Dr
City
State
Zip
06042-8705
Phone Number
860-644-0099
Fax Number
person
Provider Business Mailing Address Details
Address
194 Buckland Hills Dr
City
State
Zip
06042-8705
Phone Number
860-644-0099
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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