Kim L Farley, PAFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R024428 Issued in ME

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 947-6508

Fax

(207) 941-8342

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1801044664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SURREY LN",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441414",
            "telephone_number": "207-862-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-947-6508",
            "fax_number": "207-941-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "PAFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ME",
            "license": "R024428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "25765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Families and Children Together
• Families United
• Family Enterprises
• Holly Weymouth Fanjoy, MD
• Joseph C Farese, LADC
• Sean J Farley, RN, BSN, CCRN
• John Farquhar Jr., MD
• Stephanie Ellen Farquhar, LCPCC
• Eva V Farrell, CFNP
• Gregg M Farrell, M.D.

• Registered Nurse First Assistant in Bangor, ME
• Providers in Bangor, ME by specialty
• Registered Nurse First Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.