Individual provider · NPI-1
Kim Doan, LAc
Acupuncturist · Southbury, CT
NPI number1013284025
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1013284025
- Entity type
- Individual (NPI-1)
- Name
- Kim Doan
- Credential
- LAc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2011
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 000550 | CT | Yes |
Practice location
220 Main St S Ste 205Southbury, CT 06488-2275
Phone 203-648-3333 · Fax 203-405-0274
Mailing address
163 Minortown RdWoodbury, CT 06798-3008
Phone 203-263-6339
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