Individual
MR. KEVIN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5611 MANGRUM DR, HUNTINGTON BEACH, CA 92649-1759
(714) 235-3784
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
30131
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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