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NPI Code Detail

MEDICARE: DUANE FARNER

MEDICARE: DUANE FARNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117-01609OTHERKSSTATE LICENSE
22001001407OTHERMOLICENSE #

General Provider Information

NPI Number : 1639284896
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUANE FARNER
Provider Business Mailing Address
First Line : 7550 W VILLAGE CIR STE 1
Second Line :
City : WICHITA
State : KS
Zip : 67205-9364
Country : US
Telephone Number : 316-838-2020
Fax Number : 316-838-7574
Provider Business Practice Location Address
First Line : 7550 W VILLAGE CIR STE 1
Second Line :
City : WICHITA
State : KS
Zip : 67205-9364
Country : US
Telephone Number : 316-838-2020
Fax Number : 316-838-7574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 06/19/2020

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