Provider Demographics
NPI:1730353590
Name:FARMER, ALETIA GAYLE (MD)
Entity type:Individual
Prefix:DR
First Name:ALETIA
Middle Name:GAYLE
Last Name:FARMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:B218 KENTUCKY CLINIC
Mailing Address - Street 2:740 S. LIMESTONE ST.
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-3900
Mailing Address - Fax:859-257-8138
Practice Address - Street 1:J509 KENTUCKY CLINIC
Practice Address - Street 2:740 S. LIMESTONE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-3900
Practice Address - Fax:859-257-8138
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY41885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine