Individual
KATHRYN ANN FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8 ASCOT LN, OLD LYME, CT 06371-1870
(860) 434-1008
Mailing address
8 ASCOT LN, OLD LYME, CT 06371-1870
(860) 434-1008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002085
CT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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