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1013961895
KELLY D FAULKNER
PADUCAH, KY
NPI
1013961895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 4806P)
Enumeration Date
2006-05-19
Last Update Date
2008-08-19
Business Address
-- KELLY D FAULKNER A.R.N.P.
5150 VILLAGE SQUARE DRIVE
PADUCAH, KY 42001-9060
Phone number: 270-415-9575
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Mailing Address
-- KELLY D FAULKNER A.R.N.P.
PO BOX 7208
PADUCAH, KY 42002-7208
Phone number: 270-415-9575
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