Samuel Farmer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Highland Heights, KY

NPI 1699501080 · NPPES record last updated Sep 11, 2024

Key facts

NPI
1699501080
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
100 Grant Drive
Highland Heights, KY 41099
Phone
(859) 218-8002
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

100 Grant Drive
Highland Heights, KY 41099

Mailing address

100 Grant Drive
Highland Heights, KY 41099
Phone (859) 218-8002

Other providers in Highland Heights, KY

All providers in Highland Heights, KY · Student in an Organized Health Care Education/Training Program in Kentucky

Sources for this page

Verify at the official NPI Registry.