Provider Demographics
NPI:1134943475
Name:FARLEIGH, ELIZABETH KIRKLAND (PA-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KIRKLAND
Last Name:FARLEIGH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 DARBY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-1319
Mailing Address - Country:US
Mailing Address - Phone:804-432-6816
Mailing Address - Fax:
Practice Address - Street 1:7611 FOREST AVE STE 330
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4946
Practice Address - Country:US
Practice Address - Phone:804-219-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110010075363A00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant