Individual
KELSEY MARTER FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 DR TT LEWIS CIR, CHARLESTON, MS 38921-2400
(662) 647-5816
Mailing address
221 DALE RD, DUCK HILL, MS 38925-9241
(662) 614-6283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903087
MS
Other
Enumeration date
12/26/2018
Last updated
09/23/2025
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