Vickie Farris

NPI 1548479223 · on the registry since 2007 · sole proprietor

Practice

Address: 304 N Church St
Hazelton, KS 67061
Phone: (620) 239-4031
Fax: (620) 239-4032
Organisation at this address: Freedom Gates Boys Ranch
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 101YA0400X
101YM0800X
Licence states on file: OK, KS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas