| Doctor Name: | ROBERT JOSEPH FARRELL |
| NPI Number: | 1245433051 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 4359 New Shepherdsville Rd Bardstown, KY - 400048000 |
| Business Phone Number: | 5023505492 |
| Business Fax Number: | 5023505495 |
| Mailing Address: | Po Box 73652, CLEVELAND |
| State: | OH |
| Postal Code: | 441930002 |
| Phone Number: | 6063303404 |
| Fax Number: | 6063303100 |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 02/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |