| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL DALE ANTHONY FARRAN | 1942827183 | 2020-07-04 |
Michael Dale Anthony Farran is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942827183. Registration indicates Michael Dale Anthony Farran is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Michael Dale Anthony Farran PA-C |
| Other Provider Name | Michael Dale Anthony Farran-brown |
| Practice Office Address | 1401 HARRODSBURG RD STE C405 LEXINGTON, KY US |
| Practice Office Telephone | 8592764429 |
| Practice Office Fax | 8593131095 |
| Mailing Address | PO BOX 936 LONDON, KY 407430936 US |
| Business Fax | 6063307825 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | TC975
KY |