Individual
KIMBERLY FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 955-7000
Mailing address
125 GWYNEDD LEA DR, NORTH WALES, PA 19454-1920
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SPO19547
PA
363LG0600X
Gerontology Nurse Practitioner
SPO19547
PA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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