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Individual

KATHRYN LEIGH BALKUNAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CDE

Contact information

Practice address
500 BURLINGTON RD, HARWINTON, CT 06791-1506
(860) 485-0405
Mailing address
197 JOHNNYCAKE MOUNTAIN RD, BURLINGTON, CT 06013-2011
(860) 484-9808

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
001637
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001637
LICENSE
CT
Enumeration date
08/13/2018
Last updated
11/26/2018
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