Individual
DR. KENNETH L FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
4455 E BROADWAY RD #104, MESA, AZ 85206
(408) 396-6000
(480) 396-9437
Mailing address
4455 E BROADWAY RD #104, MESA, AZ 85206
(408) 396-6000
(480) 396-9437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0943510
BCBS
—
Enumeration date
07/10/2006
Last updated
10/12/2007
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