Kevin Jimenez
Nurse Practitioner - Gerontology
100 Grand St
New Britain
, Connecticut 06052-2016
Kevin Jimenez
Nurse Practitioner - Gerontology
100 Grand St
New Britain
, Connecticut 06052-2016
(203) 558-3952
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kevin Jimenez
- 16 Orchard Ln
- Waterbury, CT
- Zip : 06705-1732
- Phone : (203) 558-3952
Second Address
- Kevin Jimenez
- 100 Grand St
- New Britain, CT
- Zip : 06052-2016
- Phone : (860) 224-5900
Reviews
FAQs
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Does Kevin Jimenez have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 9371 | CT |
National Provider Identifier
| NPI | 1023607553 |
|---|---|
| Provider Name | Kevin Jimenez |
| First Address | Waterbury, CT 06705-1732 |
| Second Address | New Britain, CT 06052-2016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.