Individual
KIM FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2611 ELECTRIC AVE, SUITE E, PORT HURON, MI 48060-6587
(810) 987-9871
(810) 987-6070
Mailing address
2611 ELECTRIC AVE, SUITE E, PORT HURON, MI 48060-6587
(810) 987-9871
(810) 987-6070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001662
IA
Other
Enumeration date
05/24/2006
Last updated
06/25/2010
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