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Individual

KATE JOHNSON FAULKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, CD-N

Contact information

Practice address
56 FRANKLIN ST STE 1, WATERBURY, CT 06706-1281
(203) 241-6506
Mailing address
175 SAYBROOK RD, MIDDLETOWN, CT 06457-4704
(203) 241-6506

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1991
CT
133V00000X
Registered Dietitian
CT

Other

Enumeration date
12/04/2020
Last updated
07/25/2023
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