Individual
DR. KIMBERLY A FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3609
(860) 679-3170
(860) 679-8162
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-3905
(860) 679-3170
(860) 679-8162
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10552
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2011
Last updated
10/26/2017
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