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Contact Information

KIMBERLY A LUCEY, MD
1699 KING ST STE 102
ENFIELD, CT06082-6052
 Phone: 860-749-6485
 Fax: 860-749-1562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KIMBERLY A LUCEY · (Female)

NPI Number 1134130867
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 06/17/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 032769
  • CT Medicaid 001327693
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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