Individual
FARRAH J CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
113 AUTUMN RIDGE DR, MT STERLING, KY 40353-1646
(859) 585-5022
Mailing address
113 AUTUMN RIDGE DR, MT STERLING, KY 40353-1646
(859) 585-5022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA663
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0693523
MEDICARE
KY
05
—
9500311700
—
KY
Enumeration date
03/07/2007
Last updated
08/16/2011
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