Provider Demographics
NPI:1598966830
Name:FARRELL, KRISTI LYNNE (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:LYNNE
Last Name:FARRELL
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 1:9400 N CENTRAL EXPY
Mailing Address - Street 2:SUTE175
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5027
Mailing Address - Country:US
Mailing Address - Phone:214-361-9355
Mailing Address - Fax:214-361-5214
Practice Address - Street 1:9400 N CENTRAL EXPY
Practice Address - Street 2:SUTE175
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5027
Practice Address - Country:US
Practice Address - Phone:214-361-9355
Practice Address - Fax:214-361-5214
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX613211Medicare PIN