Individual
MR. KENNETH CHRISTOPHER FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ANP
Contact information
Practice address
6319A CAROLINA BEACH RD, WILMINGTON, NC 28412-2907
(910) 399-8666
(910) 399-8664
Mailing address
1328 N LAKE PARK BLVD, CAROLINA BEACH, NC 28428-3935
(910) 466-4874
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
190386
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5004456
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004456
NC LICENSE
NC
Enumeration date
07/22/2009
Last updated
07/21/2022
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