Provider Demographics
NPI:1417124900
Name:FARR, KIMBERLY GILBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:GILBERT
Last Name:FARR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 INVERNESS RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1146
Mailing Address - Country:US
Mailing Address - Phone:207-749-0777
Mailing Address - Fax:
Practice Address - Street 1:24 INVERNESS RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1146
Practice Address - Country:US
Practice Address - Phone:207-749-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor