Individual
KENDELL BREANNE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3500
(573) 629-3555
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3368
(573) 248-5418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041443230
IL
163WX0003X
Inpatient Obstetric Registered Nurse
2007018875
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2020005606
MO
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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