Fearn, Kathleen Anne
Fearn, Kathleen Anne is an individual health care provider with primary practice located at 150 Sargent Dr Ste 6, New Haven CT 06511-6110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fearn, Kathleen Anne can be contacted via phone (203) 781-4321.Contact Information
Primary practice address
150 Sargent Dr Ste 6
New Haven CT 06511-6110
Phone: (203) 781-4321
Fax: (203) 781-4329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 022971 | Connecticut |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 022971 | Connecticut |
Profile Details
| NPI number | 1982680948 |
|---|---|
| LBN Legal business name | Fearn, Kathleen Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | May 20th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982680948 | NPPES |
| Connecticut | MEDICAID | 001229715 |
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