Kathryn Ann Fallon, NURSE PRACTITIONER
NPI #1316129455 in Old Lyme, Connecticut
Provider Information
- NPI Number
- 1316129455
- Entity Type
- Individual
- Name
- Kathryn Ann Fallon, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Nov 30, 2007
- Last Updated
- Nov 30, 2007
Practice Location
- Address
- 8 ASCOT LN
- City
- Old Lyme
- State
- Connecticut
- ZIP Code
- 06371-1870
- Phone
- (860) 434-1008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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