Provider Demographics
NPI:1669628541
Name:FITZGERALD, KARA NOEL (ND)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:NOEL
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27 GLEN RD
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1193
Mailing Address - Country:US
Mailing Address - Phone:203-304-9502
Mailing Address - Fax:203-304-9503
Practice Address - Street 1:27 GLEN RD
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1193
Practice Address - Country:US
Practice Address - Phone:203-304-9502
Practice Address - Fax:203-304-9503
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1463175F00000X
CT000403175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath