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Individual

KATHLEEN FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 799-7474
Mailing address
3420 S FRANKLIN AVE, SPRINGFIELD, MO 65807-4322
(417) 719-2658

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
205000344
MO

Other

Enumeration date
04/24/2025
Last updated
04/24/2025
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