Individual
KIMBERLY FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2098 TERON TRCE STE 300, DACULA, GA 30019-1667
(770) 614-4060
(678) 482-7788
Mailing address
113 CANDLER PARK DR, WINDER, GA 30680-3272
(678) 315-9943
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN094721
GA
Other
Enumeration date
12/14/2016
Last updated
07/11/2023
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