Individual
FREDRICK J FARMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
609 E 1ST, ST. JOHN, KS 67576
(620) 549-3251
(855) 332-0469
Mailing address
609 E 1ST, ST. JOHN, KS 67576
(620) 549-3251
(855) 332-0469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0518773
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229660B
—
KS
01
—
103006
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/11/2006
Last updated
12/28/2021
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