MS. Kim Mims

NPI #1215162425 in Bridgeport, Connecticut

Provider Information

NPI Number: 1215162425
Entity Type: Individual
Name: MS. Kim Mims
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 18, 2009
Last Updated: May 18, 2009

Practice Location

Address: 865 LAUREL AVE
City: Bridgeport
State: Connecticut
ZIP Code: 06604-2406
Phone: (203) 854-6667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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