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Individual

KIRBY FARNSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 668-1803
(928) 684-2434
Mailing address
20470 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9708
(623) 404-2244
(623) 404-2245

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q1981
TX
207Q00000X
Family Medicine Physician
006965
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/21/2013
Last updated
04/26/2024
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