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Individual

DR. KENNETH FARRISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
705 HIGHWAY 80 W, CLINTON, MS 39056-4103
(601) 587-1367
(601) 373-2879
Mailing address
705 HIGHWAY 80 W, CLINTON, MS 39056-4103
(601) 587-1367
(601) 373-2879

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80104
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118423
MS
Enumeration date
07/11/2006
Last updated
01/17/2020
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