Provider Demographics
NPI:1699547463
Name:FARLEY, CHRISTA
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:FARLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 MEADOW BROOK LN
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-7099
Mailing Address - Country:US
Mailing Address - Phone:606-273-7110
Mailing Address - Fax:606-573-3335
Practice Address - Street 1:96 MEADOW BROOK LN
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:KY
Practice Address - Zip Code:40831-7099
Practice Address - Country:US
Practice Address - Phone:606-273-7110
Practice Address - Fax:606-573-3335
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN