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NPI Code Detail

MEDICARE: DARREN M FARBER D.O.

MEDICARE:   DARREN M FARBER  D.O.
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
12084N0400XNeurology Physician03033KY
22084N0402XNeurology with Special Qualifications in Child Neurology Physician03033KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103033OTHERKYLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881715514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN M FARBER D.O.
Provider Business Mailing Address
First Line : 401 E CHESTNUT ST
Second Line : SUITE 510
City : LOUISVILLE
State : KY
Zip : 40202-5710
Country : US
Telephone Number : 502-589-0802
Fax Number : 502-589-0805
Provider Business Practice Location Address
First Line : 601 S FLOYD ST
Second Line : SUITE 500
City : LOUISVILLE
State : KY
Zip : 40202-1837
Country : US
Telephone Number : 502-589-8033
Fax Number : 502-589-8233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 01/26/2021

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Directions to “ DARREN M FARBER D.O.” Practice Location

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