Provider Demographics
NPI:1124097373
Name:FARR, STANLEY J (DC)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:J
Last Name:FARR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:VALLEY FALLS
Mailing Address - State:KS
Mailing Address - Zip Code:66088
Mailing Address - Country:US
Mailing Address - Phone:785-945-3261
Mailing Address - Fax:785-945-3419
Practice Address - Street 1:HWY 16 @ WALNUT STREET
Practice Address - Street 2:
Practice Address - City:VALLEY FALLS
Practice Address - State:KS
Practice Address - Zip Code:66088
Practice Address - Country:US
Practice Address - Phone:785-345-3261
Practice Address - Fax:785-945-3419
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T77084Medicare UPIN
KS005491Medicare ID - Type UnspecifiedCLINIC
KS007302Medicare ID - Type Unspecified