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Individual
KIM L FARLEY
Active
Individual
KIM L FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R024428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25765
ANTHEM
—
Enumeration date
09/05/2008
Last updated
06/11/2012
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