Individual
KATHLEEN ANNE FEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 SARGENT DR, STE 6, NEW HAVEN, CT 06511-6110
(203) 781-4321
(203) 781-4329
Mailing address
150 SARGENT DR, STE 6, NEW HAVEN, CT 06511-6110
(203) 781-4321
(203) 781-4329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022971
CT
2080A0000X
Pediatric Adolescent Medicine Physician
022971
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001229715
—
CT
Enumeration date
12/21/2005
Last updated
05/20/2010
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