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Individual
MS. KELLY B FARNAN
Active
Individual
MS. KELLY B FARNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
389496-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
400553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02153079
—
NY
Enumeration date
08/26/2005
Last updated
09/24/2010
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