Individual
KELLY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8133 LEESBURG PIKE STE 600, VIENNA, VA 22182-2733
(855) 479-4217
(888) 557-9724
Mailing address
4602 TOLLHOUSE LN, LOUISVILLE, KY 40241-1733
(502) 595-7302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4042938
KY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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