Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Wayne Farrell, PA-C

Individual provider Physician Assistant · NPI 1235240557

Mr. Kenneth Wayne Farrell, PA-C is a Physician Assistant in Greeley, Colorado. Qualified in 2001, 25 years ago. Practices with Mile High Urgent Care PLLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5881 W 16th St Ste A
Greeley, CO 80634-2910
Phone: (970) 652-2454
Fax: (970) 652-2447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 38780 Trade Center Dr Ste 1c, Palmdale, CA 93551-3641 — (661) 947-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16558 (CA)

Record details

NPI number1235240557
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mile High Urgent Care Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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