Individual
DR. KATHLEEN DONOGHUE FAULKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 ROSE ST, H110, LEXINGTON, KY 40536-0293
(859) 323-0295
(859) 323-1256
Mailing address
800 ROSE ST, H110, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
016514
KY
1835P1200X
Pharmacotherapy Pharmacist
Primary
016514
KY
390200000X
Student in an Organized Health Care Education/Training Program
016514
KY
Other
Enumeration date
07/25/2013
Last updated
09/15/2022
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