Individual
MRS. FEONIA FARRAH KEARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
111 SPRINGHALL DR, GOOSE CREEK, SC 29445-5351
(866) 773-3534
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6790
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020015474
IL
124Q00000X
Dental Hygienist
Primary
1002971-16
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390806251
FORWARD HEALT
WI
05
—
390806251
—
WI
Enumeration date
10/03/2016
Last updated
04/10/2023
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