Individual
KRISTIE NICOLE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N JUBILEE ST, ANDALE, KS 67001-9662
(316) 213-5845
Mailing address
300 N JUBILEE ST, ANDALE, KS 67001-9662
(316) 213-5845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02915
KS
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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