Individual
AMY R KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
163 BOSTON POST RD, SUITE 3&4, WATERFORD, CT 06385-2840
(860) 444-8774
(860) 444-8776
Mailing address
163 BOSTON POST RD, SUITE 3&4, WATERFORD, CT 06385-2840
(860) 444-8774
(860) 444-8776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000727
CT
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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