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Organization

K AND F NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY BREYER RD (OWNER/DIETITIAN)
(860) 744-4580
Entity
Organization

Contact information

Practice address
164 RIDGELAND CIR, WALLINGFORD, CT 06492-2163
(860) 744-4580
Mailing address
164 RIDGELAND CIR, WALLINGFORD, CT 06492-2163
(860) 744-4580

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
03/07/2019
Last updated
03/07/2019
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