NPI 1215162425

Kim Mims

Practitioner Community Health Worker Bridgeport, CT

Practice location

Address: 865 Laurel Ave, Bridgeport, CT 06604-2406
Phone: (203) 854-6667
Fax: (203) 549-8683

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence # HCA.0000365 (CT)

Other Community Health Worker providers in Connecticut →

Registry record

NPI: 1215162425
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2009
Record last updated: 18 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.