Male or Other

Kristoffer Farrell NP

Full Name

Kristoffer Farrell NP

NPI Number

1740220946

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/07/2006

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

No

Licenses

State

Connecticut
Kentucky
New York
North Carolina
Pennsylvania
Pennsylvania
Rhode Island
South Carolina
West Virginia

License Number

7040
3007654
430977
5009909
SP016124
SP007306
01365
18933
83908

Contact
Information

Purpose

Mailing
Location

Address

265 BROOKVIEW CENTRE WAY
265 BROOKVIEW CENTRE WAY

City

Knoxville
Knoxville

State

TN
TN

Postal Code

37919-4049
37919-4049

Country

US
US

Telephone Number

(800) 342-2898
(800) 342-2898

Identifiers

Identifier

500028805

Identifier State

PA

Identifier Issuer

RAILROAD MEDICARE

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

Data last updated by provider on 09/18/2023

Provider Address