Provider Demographics
NPI:1871240275
Name:FARBER, MORGAN RAE
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAE
Last Name:FARBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 566
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:67740-0566
Mailing Address - Country:US
Mailing Address - Phone:785-677-3777
Mailing Address - Fax:318-708-2801
Practice Address - Street 1:720 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOXIE
Practice Address - State:KS
Practice Address - Zip Code:67740-8800
Practice Address - Country:US
Practice Address - Phone:785-677-3777
Practice Address - Fax:318-708-2801
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-03278208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation