Individual
KEVIN C FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 S SAINT LOUIS AVE, TULSA, OK 74105-4013
(314) 494-0624
Mailing address
4175 S SAINT LOUIS AVE, TULSA, OK 74105-4013
(314) 494-0624
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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