Individual
KIMBERLY J FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
625 KENTUCKY ST, ASHLAND, KS 67831-3199
(620) 635-2241
(620) 635-2229
Mailing address
PO BOX 188, ASHLAND, KS 67831-0188
(620) 635-2241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007032793
MO
Other
Enumeration date
10/30/2007
Last updated
04/14/2021
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