Provider Demographics
NPI:1952535635
Name:KIMBERLY FARR
Entity Type:Organization
Organization Name:KIMBERLY FARR
Other - Org Name:FARR HORIZONS HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:207-939-7072
Mailing Address - Street 1:317 FORESIDE RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1431
Mailing Address - Country:US
Mailing Address - Phone:207-781-4640
Mailing Address - Fax:207-839-2197
Practice Address - Street 1:317 FORESIDE RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1431
Practice Address - Country:US
Practice Address - Phone:207-781-4640
Practice Address - Fax:207-839-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty