KATHRYN ANN FALLON


Address: 8 Ascot Ln, Old Lyme, CT 06371-1870
Phone: 8604341008

KATHRYN ANN FALLON (NPI# 1316129455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316129455
Entity Type Individual
Full Name KATHRYN ANN FALLON
Credential NURSE PRACTITIONER
Practice Address 8 Ascot Ln
Old Lyme
CT 06371-1870
Practice Telephone 8604341008
Mailing Telephone 8604341008
Enumeration Date 2007-11-30
Last Update Date 2007-11-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
002085 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8 ASCOT LN
City OLD LYME
State CT
Zip Code 06371-1870

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1740653278 New England Pa LLC Physician Assistant 5 Davis Road East, Old Lyme, CT 06371 2015-11-05
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1285956987 Karl R. Friedmann Family Medicine 40 Coult Lane, Old Lyme, CT 06371 2010-02-22
1285844977 Cary L. Walker Social Worker 6 Town Street, Lyme, CT 06371 2007-05-23
1578784765 Lynne Zimmerman Psychologist 16 Library Ln, Old Lyme, CT 06371 2007-05-02
1588784375 Jan Fitzgerald Briscoe Marriage & Family Therapist 81 Halls Rd Unit C, Old Lyme, CT 06371 2007-03-29
1588702583 Karl M Goldkamp Naturopath 81 Halls Road, Old Lyme, CT 06371 2007-02-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City OLD LYME
Zip Code 06371

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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