Individual
DR. KENNETH HAYS FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6405 N FEDERAL HIGHWAY, SUITE 104, FORT LAUDERDALE, FL 33308
(954) 938-1890
(954) 938-1899
Mailing address
6405 N FEDERAL HIGHWAY, SUITE 104, FORT LAUDERDALE, FL 33308
(954) 938-1890
(954) 938-1899
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME19241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013293
GHI
—
01
—
1000618
CAREPLUS
—
01
—
1002019
UNITED HEALTHCARE
—
01
—
112208
COVENTRY
FL
01
—
3385753002
CIGNA
—
01
—
854168
AETNA
—
01
—
L9PEL
BCBS
FL
Enumeration date
07/22/2005
Last updated
08/10/2016
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