Farrell, Keith Alan

Farrell, Keith Alan is an individual health care provider with primary practice located at 555 E Cheves Street Mcleod Occupational Health, Florence SC 29506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as his primary health care specialty. Farrell, Keith Alan can be contacted via phone (843) 777-2550.

Contact Information

Primary practice address
555 E Cheves Street Mcleod Occupational Health Florence SC 29506
Phone: (843) 777-2550
Fax: (843) 777-5296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 20020 South Carolina

Profile Details

NPI number 1639344179
LBN Legal business name Farrell, Keith Alan
Credentials MS MPH APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated May 25th, 2016 - about 8 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 1639344179 NPPES
New Hampshire MEDICAID 30346786
New Hampshire MEDICAID 1014951

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