Healthcare Provider Details

I. General information

NPI: 1639757123
Provider Name (Legal Business Name): JEFFREY KYLE FARRINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 SPRING HILL AVE STE 3
MOBILE AL
36604-1410
US

IV. Provider business mailing address

1720 SPRING HILL AVE STE 3
MOBILE AL
36604-1410
US

V. Phone/Fax

Practice location:
  • Phone: 251-435-2663
  • Fax: 251-435-1098
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberLL3839
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number54106
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: