MEDICARE: BARBARA K FARRELL R.D., C.D.

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	133V00000X	Registered Dietitian	074-0000043	VT

General Provider Information

NPI Number	:	1174529333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA K FARRELL R.D., C.D.

Provider Business Mailing Address
First Line	:	905 MAIN RD
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-8802
Country	:	US
Telephone Number	:	802-434-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 MAIN RD
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-8802
Country	:	US
Telephone Number	:	802-434-2848
Fax Number	:

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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