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General NPI Number Information
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NPI Number | 1952535635
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Entity Type | Organization
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Legal Business Name | KIMBERLY FARR
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 317 FORESIDE RD
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City | FALMOUTH
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State | ME
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Zip | 04105-1431
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Country | US
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Telephone | 207-781-4640
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Fax | 207-839-2197
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Provider Business Mailing Address
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Address Line | 317 FORESIDE RD
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City | FALMOUTH
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State | ME
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Zip | 04105-1431
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Country | US
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Telephone | 207-781-4640
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Fax | 207-839-2197
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SUSAN MCKINLEY
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Credential | BS
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Telephone | 207-939-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CR903
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License Number State | ME
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