Doctor Name: | MR. KIM THYRILL MCFARLANE |
NPI Number: | 1326081084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAS, PA-C |
License Number: | 295789-1206 |
Business Practice Address: | 585 West Main Street Green River, UT - 845250417 |
Business Phone Number: | 4355643434 |
Business Fax Number: | 4355643214 |
Mailing Address: | 585 West Main Street, Po Box 417 GREEN RIVER |
State: | UT |
Postal Code: | 845250417 |
Phone Number: | 4355643434 |
Fax Number: | 4355643214 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 295789-1206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |