Individual
MS. KIRA PANTSCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
7 DEEPWOOD LN, WESTPORT, CT 06880-1317
(860) 559-0317
Mailing address
7 DEEPWOOD LN, WESTPORT, CT 06880-1317
(203) 442-6027
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/23/2022
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