| NPI Details | |
|---|---|
| NPI | 1013961895 |
| Gender | Female |
| Enumeration Date | 05/19/2006 |
| Last Updated | 08/19/2008 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 5150 VILLAGE SQUARE DRIVE PADUCAH KY, 42001-9060, US |
|
| Phone | (270) 415-9575 |
| Fax | (270) 415-9576 |
| Business Location | |
|---|---|
| PO BOX 7208 PADUCAH KY, 42002-7208, US |
|
| Phone | (270) 415-9575 |
| Fax | (270) 415-9576 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363L00000X |
| License State | Kentucky |
| License Number | 4806P |
| Remove 1013961895 NPI Number | |
According to our database, Kelly D Faulkner A.R.N.P. NPI is 1013961895, taxonomy code is 363L00000X and license number is 4806P, license state is located at Kentucky. Kelly D Faulkner A.R.N.P. physically located at 5150 Village Square Drive, Paducah KY, 42001-9060. NPI Number Kelly D Faulkner A.R.N.P. has the Individual type.
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1013961895 NPI number is provided on an as is basis without warranty of any kind. 1013961895 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly D Faulkner A.R.N.P. are for informational purposes only.
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