Individual
MRS. KIMBERLY FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 AQUA VISTA CT, KILLEN, AL 35645-8301
(256) 762-6783
(256) 764-2982
Mailing address
90 AQUA VISTA CT, KILLEN, AL 35645-8301
(256) 762-6783
(256) 764-2982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0008077
CO
363AS0400X
Surgical Physician Assistant
Primary
PA-14
AL
Other
Enumeration date
02/23/2006
Last updated
03/07/2025
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