Individual provider · Type 1 NPI
Kenna Provost Farek, MD
Student in an Organized Health Care Education/Training Program · Lubbock, TX
NPI number
1609624097
Active
Practice location
3601 4th St # Ms 9901
Lubbock, TX 79430-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | BP10090108 (TX) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
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About NPI 1609624097
Kenna Provost Farek, MD's National Provider Identifier is 1609624097, issued on May 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on May 9, 2024.