Provider Demographics
NPI:1841298841
Name:KERRIGAN, KIRSTEN (MD)
Entity type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:
Last Name:KERRIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-666-5111
Mailing Address - Fax:860-666-5153
Practice Address - Street 1:18 CEDAR ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2647
Practice Address - Country:US
Practice Address - Phone:860-666-5111
Practice Address - Fax:860-666-5153
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041391207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5281217OtherCIGNA PROV ID
CT369989OtherWELLCARE MEDICARE
CTP3292477OtherOXFORD PROV ID
CT010041391CT02OtherBCBS N BCFP PROV ID
CT041391OtherCONNECTICARE PROV ID
CT7193539OtherAETNA REF ID
CT03648049OtherAETNA PROV ID
CT1255448155OtherGHMC GRP NPI ID
CT2V2669OtherHEALTH NET PROV ID
CT369989OtherWELLCARE MEDICARE
CT041391OtherCONNECTICARE PROV ID