# JOHN M FARRELL

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

## Provider details

- **NPI number:** 1942224670
- **Gender:** Man
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2110 | KS | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 2110 | KS | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 07/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 115767 | BLUE CROSS BLUE SHIELD | KS |
| 05 | — | 200307580A | — | KS |