Provider Demographics
NPI:1285420059
Name:THORME, KIMBERLY NAN
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:NAN
Last Name:THORME
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 JUHASZ RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-1643
Mailing Address - Country:US
Mailing Address - Phone:203-667-3935
Mailing Address - Fax:
Practice Address - Street 1:17 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-3837
Practice Address - Country:US
Practice Address - Phone:203-840-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical