Kingson Lin, MD, PHD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI 1871353052 · NPPES record last updated Apr 27, 2024

Key facts

NPI
1871353052
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
56 Franklin St Ste 1
Waterbury, CT 06706-1281
Phone
(203) 709-6000
NPI assigned
Mar 22, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT Yes

Addresses

Primary practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Mailing address

56 Franklin St Ste 1
Waterbury, CT 06706-1254

Other providers in Waterbury, CT

All providers in Waterbury, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.