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Individual

DR. KEVIN KIMBALL FARR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
159 ALTAMA CONNECTOR, BRUNSWICK, GA 31525-1853
(912) 264-8408
Mailing address
159 ALTAMA CONNECTOR, BRUNSWICK, GA 31525-1853
(912) 264-8408

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10215
KY
1223G0001X
General Practice Dentistry
DN015438
GA

Other

Enumeration date
06/13/2017
Last updated
07/21/2022
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