Individual
DR. KENNETH EUGENE FARMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 600, DOTHAN, AL 36301-3007
(334) 793-3900
(334) 793-5227
Mailing address
1118 ROSS CLARK CIR, SUITE 600, DOTHAN, AL 36301-3007
(334) 793-3900
(334) 793-5227
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
22257
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941761
—
AL
01
—
51539129
BCBS OF ALABAMA
AL
01
—
51539130
BCBS OF ALABAMA
AL
Enumeration date
05/26/2006
Last updated
09/11/2024
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