Individual
DR. KATHRYN R FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 RIVER BEND PL, SUITE C, JACKSON, MS 39232-7618
(601) 957-7345
(769) 251-5429
Mailing address
5 RIVER BEND PL, SUITE C, JACKSON, MS 39232-7618
(601) 957-7345
(769) 251-5429
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
20182
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09571374
—
MS
Enumeration date
07/24/2007
Last updated
09/17/2019
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