Individual
KIMBERLY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W BELTLINE HWY STE 207, MADISON, WI 53713-2321
(608) 417-6102
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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