Most Relevant Information
Provider Data
| NPI Number: | 1003053117 |
| Provider Name: | KENNETH MICHAEL FARMER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2083X0100X |
| Specialty: | Preventive Medicine |
| License Number: | 16782 |
Most Important Dates
| Enumeration Date: | 01/12/2009 |
| Last Updated: | 01/12/2009 |
Provider Practice Location
17718 POPEDALE RD
LOUISVILLE
KY
402454353
Practice Location Phone/Fax
| Phone: | 5022455452 |
| Fax: |
Provider Mailing Location
17718 POPEDALE RD
LOUISVILLE
KY
402454353
Provider Mailing Phone/Fax
| Phone: | 5022455452 |
| Fax: |