| Doctor Name: | MS. KELLY B FARNAN |
| NPI Number: | 1861485534 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 400553 |
| Business Practice Address: | 284 Main Street Suite 320 Schoharie, NY - 12157 |
| Business Phone Number: | 5182958336 |
| Business Fax Number: | 5182958724 |
| Mailing Address: | 284 Main Street Suite 320 Box 160, 3rd Floor SCHOHARIE |
| State: | NY |
| Postal Code: | 12157 |
| Phone Number: | 5182958336 |
| Fax Number: | 5182958724 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 400553 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |