Individual
DR. KIMBERLY Q FARAHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
522 WHEELING AVE, CAMBRIDGE, OH 43725
(740) 439-1204
(740) 439-9392
Mailing address
522 WHEELING AVE, CAMBRIDGE, OH 43725
(740) 439-1204
(740) 439-9392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1879409
UNITED CONCORDIA PROVIDER
—
05
—
2663676
—
OH
Enumeration date
02/28/2006
Last updated
08/21/2019
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