Organization
KENNETH H FARRELL M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH H FARRELL M.D. (PRESIDENT)
(954) 938-1890
Entity
Organization
Contact information
Practice address
6405 NORTH FEDERAL HIGHWAY, SUITE 104, FORT LAUDERDALE, FL 33308-1414
(954) 938-1890
(954) 938-1899
Mailing address
6405 NORTH FEDERAL HIGHWAY, SUITE 104, FORT LAUDERDALE, FL 33308-1414
(954) 938-1890
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19241
FL
Other
Enumeration date
12/18/2012
Last updated
09/29/2016
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