Individual
ROBERT JOSEPH FARRELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4359 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-8000
(502) 350-5492
(502) 350-5495
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008-00427
NC
208600000X
Surgery Physician
Primary
42829
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-00427
STATE LICENSE
NC
05
—
7100087210
—
KY
Enumeration date
06/08/2007
Last updated
07/24/2019
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