Kim Carlos Farmer, FNP
Nurse Practitioner, Family in Rome, GA. Individual provider (NPI-1).
NPI number1164049656
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1164049656
- Entity type
- Individual (NPI-1)
- Name
- Kim Carlos Farmer
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2020
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN277524 | GA | Yes |
Practice location
304 Turner McCall Blvd SwRome, GA 30165-5621
Phone 706-509-5000
Mailing address
502 S Church StPiedmont, AL 36272-2308
Phone 256-294-3668
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