Individual
JOHN MITCHELL FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(502) 894-0266
(502) 894-0737
Mailing address
512 EXECUTIVE PARK, LOUISVILLE, KY 40207-4205
(502) 894-0266
(502) 894-0737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19060
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
XF7678521
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190606
—
KY
Enumeration date
11/06/2006
Last updated
09/09/2021
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