Individual
TAYLOR KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510-3220
(203) 688-9185
Mailing address
20 YORK ST, FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510-3220
(203) 688-9185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5643
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
MEDICARE YNHH
CT
Enumeration date
11/12/2015
Last updated
11/12/2015
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