# BETHANY JAYNE FARR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679991269
- **Gender:** F
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | E-15476 | AR | — |
| 2086S0102X | Surgical Critical Care Physician | E-15176 | AR | — |
| 2086S0120X | Pediatric Surgery Physician | 77170 | MN | Yes |
| 2086S0120X | Pediatric Surgery Physician | E-15176 | AR | — |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 10/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2362640 | — | LA |