Farr, Kenneth D

Farr, Kenneth D is an individual health care provider with primary practice located at 2020 W Iles Ave , Springfield IL 62704-4174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Farr, Kenneth D can be contacted via phone (217) 698-3030.

Contact Information

Primary practice address
2020 W Iles Ave Springfield IL 62704-4174
Phone: (217) 698-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16864 South Carolina

Profile Details

NPI number 1740366244
LBN Legal business name Farr, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Apr 6th, 2023 - 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 1740366244 NPPES
Georgia MEDICAID 003184541A
Georgia MEDICAID 003184541B
Georgia Other GP6817
Georgia Other SC5426E499
Georgia Other P01512723
Georgia MEDICAID 168641

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