Kim Abram LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

007869 Issued in CT

Legal business name

KIM ABRAM LLC

Practice address

79 Mill St
Middletown, CT 06457-4468

Phone

(860) 966-1292

NPI assigned

Jul 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Lynn Abram, LCSW

Title

Therapist

Phone

(860) 966-1292

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1649623000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SPENCER DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573584",
            "telephone_number": "860-966-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MILL ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574468",
            "telephone_number": "860-966-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ABRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "860-966-1292",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anwar M Khan, MD
• Moazzem Hossain Khan, M.D.
• Rehan Khan
• Ali Khayyer, DDS
• Pamela Jean Kieras, MS LADC
• Kevin W Kimmel, PA-C
• Mark Kimmel, M.D.
• Kindkin Care LLC
• Rogsbert Frenzell King-Eagles, LADC
• Debra August King, PA, PHD

• Community/Behavioral Health Agency in Middletown, CT
• Providers in Middletown, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.