Individual
DR. KIM KNOX FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
135 PINE STREET, SUITE B, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803
Mailing address
175 PINE ST, BUFFALO, WY 82834-2332
(307) 684-5828
(307) 684-5803
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
223
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119212400
—
WY
Enumeration date
11/02/2005
Last updated
01/29/2017
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