MEDICARE: DR. STANLEY J FARR DC

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	111N00000X	Chiropractor	0103366	KS

General Provider Information

NPI Number	:	1124097373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY J FARR DC

Provider Business Mailing Address
First Line	:	PO BOX 186
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088
Country	:	US
Telephone Number	:	785-945-3261
Fax Number	:	785-945-3419

Provider Business Practice Location Address
First Line	:	HWY 16 @ WALNUT STREET
Second Line	:
City	:	VALLEY FALLS
State	:	KS
Zip	:	66088
Country	:	US
Telephone Number	:	785-345-3261
Fax Number	:	785-945-3419

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/08/2007

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