Male or Other

Mr. Kenneth C. Farmer RN, ANP

Adult Health Nurse Practitioner in Wilmington, NC(View on Map)

Full Name

Mr. Kenneth Christopher Farmer RN, ANP

NPI Number

1578793725

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/22/2009

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

North Carolina
North Carolina

License Number

5004456
190386

Contact
Information

Purpose

Mailing
Location

Address

1328 N LAKE PARK BLVD
6319A CAROLINA BEACH RD

City

Carolina Beach
Wilmington

State

NC
NC

Postal Code

28428-3935
28412-2907

Country

US
US

Telephone Number

(910) 466-4874
(910) 399-8666

Identifiers

Identifier

5004456

Identifier State

NC

Identifier Issuer

NC LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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