Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIM MIMS
ActiveCommunity Health Worker · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1215162425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2009 (16.954763131883 yrs)
- Last Updated
- May 18, 2009
- License
-
# HCA.0000365 (CT)
Practice Information
- Address
-
865 LAUREL AVEBRIDGEPORT, CT, 066042406Browse CT providers · Browse ZIP 06604
- Phone
- 2038546667
- Fax
- 2035498683
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in BRIDGEPORT, CT
| Name | Credential | NPI |
|---|---|---|
| IDA R PRATT | CHW | 1780024943 |
| MR. JEROME C HAILEY | — | 1043626997 |
| DESERIE ALINE CLACK-WILSON | — | 1447869029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.