Individual
MR. KEITH ALAN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS MPH APRN
Contact information
Practice address
555 E CHEVES STREET, MCLEOD OCCUPATIONAL HEALTH, FLORENCE, SC 29506
(843) 777-2550
(843) 777-5296
Mailing address
149 N RAVENEL STREET, MCLEOD OCCUPATIONAL HEALTH, FLORENCE, SC 29506
(843) 777-2550
(843) 777-5296
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
20020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014951
—
VT
05
—
30346786
—
NH
Enumeration date
04/25/2008
Last updated
05/25/2016
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