Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 22624 | NE |
NPI | 1013132265 |
---|---|
Provider Name | Daniel C Farrell |
First Address | Overland Park, KS 66215-2305 |
Second Address | Overland Park, KS 66215-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03158 | BLUE CROSS OF NE (01) | NE |
1013132265 | (05) | MO |
200579790A | (05) | KS |