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1942209010

NPI Code Detail

MEDICARE: KERWIN T FARMER DO

MEDICARE: KERWIN T FARMER DO

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
1	207L00000X	Anesthesiology Physician	5101013227	MI
2	207Q00000X	Family Medicine Physician	5101013227	MI
3	207P00000X	Emergency Medicine Physician	5101013227	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	930109918	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	KF013227	OTHER		BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1942209010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERWIN T FARMER DO

Provider Business Mailing Address
First Line	:	4100 EMBASSY DR SE STE 400
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-875-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 W CHISHOLM ST
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-1401
Country	:	US
Telephone Number	:	800-968-6866
Fax Number	:	616-532-7230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	12/01/2025

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Directions to “ KERWIN T FARMER DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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