Individual
KAITLIN FAYE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(304) 261-4502
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18112
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
01/13/2023
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