Wellformed AI

NPI 1801044664 · live from the CMS NPI Registry

Kim L Farley, PAFA

Registered Nurse, Registered Nurse First Assistant in Bangor, ME. National Provider Identifier 1801044664, active.

NPI record

NPI1801044664 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Registered Nurse First Assistant 163WR0006X
Practice location489 State St, Bangor, ME 04401
Practice phone207-947-6508
Mailing address29 Surrey Ln, Hampden, ME 04444
EnumeratedSeptember 5, 2008
Last updatedJune 11, 2012
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Registered Nurse First Assistant primary163WR0006Xr024428 (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.