Farr, Kyle M

Farr, Kyle M is an individual health care provider with primary practice located at 640 Starkweather St Ste C , Plymouth MI 48170-1371. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Farr, Kyle M can be contacted via phone (734) 259-2804.

Contact Information

Primary practice address
640 Starkweather St Ste C Plymouth MI 48170-1371
Phone: (734) 259-2804
Fax: (734) 259-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704253005 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704253005 Michigan

Profile Details

NPI number 1144508904
LBN Legal business name Farr, Kyle M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2011
Last updated Jan 9th, 2024 - 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 1144508904 NPPES
Michigan Other 12304421 CAQH

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