Most Relevant Information
Provider Data
| NPI Number: | 1003289083 |
| Provider Name: | TAYLOR KINGSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 5643 |
Most Important Dates
| Enumeration Date: | 11/12/2015 |
| Last Updated: | 11/12/2015 |
Provider Practice Location
20 YORK ST
FOOD AND NUTRITION EPB806
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 2036889185 |
| Fax: |
Provider Mailing Location
20 YORK ST
FOOD AND NUTRITION EPB806
NEW HAVEN
CT
065103220
Provider Mailing Phone/Fax
| Phone: | 2036889185 |
| Fax: |