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NPI Code Detail

MEDICARE: KENT FARNSWORTH MD

MEDICARE:   KENT  FARNSWORTH  MD
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
1207P00000XEmergency Medicine Physician01041665AIN
2208M00000XHospitalist Physician01041665AIN
3207R00000XInternal Medicine Physician01041665AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00752841OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000087421OTHERINANTHEM

General Provider Information

NPI Number : 1144296088
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT FARNSWORTH MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7411 HOPE DR STE C
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-5687
Country : US
Telephone Number : 260-234-5400
Fax Number : 260-234-5395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 01/09/2025

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Directions to “ KENT FARNSWORTH MD” Practice Location

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