Active NPIIndividual provider

So Yeon Kim, MD

Internal Medicine, Medical Oncology in North Haven, Connecticut

NPI Number1760831408
Practice location
6 Devine St, North Haven, CT 06473-2195
Fax
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Last updated
July 25, 2022

So Yeon Kim is an Internal Medicine, Medical Oncology based in North Haven, CT. So Yeon Kim practices in North Haven, CT and has the professional credentials of MD. The NPI Number for So Yeon Kim is 1760831408 and holds a License No. 72166 (CT). The current practice location address for So Yeon Kim is 6 Devine St, North Haven, CT 06473-2195 and can be reached out via phone at 203-407-8002.

Provider Profile Details

NPI Number
1760831408
Provider Name
So Yeon Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6 Devine St, North Haven, CT 06473-2195
Phone Number
203-407-8002
Primary Taxonomy
Internal Medicine, Medical Oncology · 207RX0202X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2016
Last Update Date
July 25, 2022
Certification Date
July 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Devine St
North Haven, CT 06473-2195
Zip
06473-2195
Phone Number
203-407-8002
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
333 Cedar Street
Www205
New Haven, CT 06510
City
New Haven
State
CT
Zip
06510
Phone Number
203-785-4095
Fax Number
203-785-4116

License Information

License Number (1)
72166
License State (1)
CT
Taxonomy (1)
Internal Medicine, Hematology · 207RH0000X
License Number (2)
72166
License State (2)
CT
Taxonomy (2)
Internal Medicine, Medical Oncology · 207RX0202X · 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 So Yeon Kim, MD?

The NPI number of So Yeon Kim, MD is 1760831408. It was assigned on June 3, 2016 and is currently active in the NPPES registry.

What is the specialty of So Yeon Kim, MD?

So Yeon Kim, MD is registered under the primary taxonomy Internal Medicine, Medical Oncology (code 207RX0202X), licensed in CT under license number 72166.

Where does So Yeon Kim, MD practice?

The practice location is 6 Devine St, North Haven, CT 06473-2195. The office can be reached at 203-407-8002 (phone).

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 1760831408 directly on the NPPES registry website.

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