Individual
DR. KEITH PATRICK FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2048 N RIVER RD NE # 3, WARREN, OH 44483-2530
(330) 372-5550
(330) 372-5551
Mailing address
2048 N RIVER RD NE # 3, WARREN, OH 44483-2530
(330) 372-5550
(330) 372-5551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371244
ANTHEM
OH
05
—
2576645
—
OH
Enumeration date
07/16/2006
Last updated
07/08/2007
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