Individual
ABEER M EL FARRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 LOU GENE AVE, LOUISVILLE, KY 40216-5403
(502) 744-0792
Mailing address
1611 LOU GENE AVE, LOUISVILLE, KY 40216-5403
(502) 744-0792
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-2881612
IRS
KY
Enumeration date
03/30/2021
Last updated
03/30/2021
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