Individual
DR. RUSSELL WARE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, STE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 583-8303
(502) 584-0302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46607
KY
208C00000X
Colon & Rectal Surgery Physician
Primary
46607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201232230
—
IN
05
—
7100136980
—
KY
Enumeration date
05/14/2007
Last updated
07/14/2016
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