Provider Demographics
NPI:1538162409
Name:FARRER, ANN (DPM)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:FARRER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2148 AMI LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40516-9602
Mailing Address - Country:US
Mailing Address - Phone:859-749-2945
Mailing Address - Fax:859-260-1007
Practice Address - Street 1:2148 AMI LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40516-9602
Practice Address - Country:US
Practice Address - Phone:859-749-2945
Practice Address - Fax:859-260-1007
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY208213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100023860OtherKY MEDICAID DME
KY80002082Medicaid
KYDD9986OtherRAILROAD MEDICARE
KYP00265302OtherRAILROAD MEDICARE
KY80002082Medicaid
KY00494Medicare PIN
KYDD9986OtherRAILROAD MEDICARE
KY7100023860OtherKY MEDICAID DME
KY5459010001Medicare NSC
KY9638Medicare PIN