Provider Demographics
NPI:1447497193
Name:FARRELL, AUDREY KLINE (DC)
Entity type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:KLINE
Last Name:FARRELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1536 KIRKWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5716
Mailing Address - Country:US
Mailing Address - Phone:302-454-1230
Mailing Address - Fax:302-454-5855
Practice Address - Street 1:18585 COASTAL HWY
Practice Address - Street 2:UNIT 26
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6147
Practice Address - Country:US
Practice Address - Phone:302-645-6681
Practice Address - Fax:302-645-6621
Is Sole Proprietor?:No
Enumeration Date:2009-01-17
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor