Dortch-Farmer, Kristen R

Dortch-Farmer, Kristen R is an individual health care provider with primary practice located at 1469 Tiny Town Rd , Clarksville TN 37042-7202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dortch-Farmer, Kristen R can be contacted via phone (931) 343-3347.

Contact Information

Primary practice address
1469 Tiny Town Rd Clarksville TN 37042-7202
Phone: (931) 343-3347
Fax: (931) 905-7008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1433 Tennessee

Profile Details

NPI number 1831373810
LBN Legal business name Dortch-Farmer, Kristen R
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831373810 NPPES
Tennessee MEDICAID 1517181

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