Individual
KATHLEEN CORRIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20 YORK ST, FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510-3220
(203) 688-2422
Mailing address
20 YORK ST, FOOD AND NUTRITION EPB806, NEW HAVEN, CT 06510-3220
(203) 688-2422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86019338
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02658
YNHH MEDICARE NUMBER
CT
Enumeration date
12/30/2014
Last updated
12/30/2014
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