Provider Demographics
NPI:1881890242
Name:KERFOOT, KARIN E (MD)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:E
Last Name:KERFOOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:E
Other - Last Name:DYMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:60 WASHINGTON AVE
Mailing Address - Street 2:304
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518
Mailing Address - Country:US
Mailing Address - Phone:203-281-2890
Mailing Address - Fax:203-281-2896
Practice Address - Street 1:60 WASHINGTON AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518
Practice Address - Country:US
Practice Address - Phone:203-281-2890
Practice Address - Fax:203-281-2896
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0445472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry