Individual
KRISTINE PADMANABHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
60 CONNOLLY PKWY, BLDG. 17, HAMDEN, CT 06514-2593
(203) 230-2815
(203) 230-8502
Mailing address
80 CARMEL ST, HAMDEN, CT 06518-2923
(203) 288-2550
(203) 230-8502
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000615
CT
133V00000X
Registered Dietitian
000615
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000615
LICENSE NUMBER
CT
Enumeration date
04/19/2007
Last updated
09/11/2025
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