Individual
MICHAEL WADE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 301, PADUCAH, KY 42003-3817
(270) 575-3113
(270) 575-3135
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43640
KY
207RC0000X
Cardiovascular Disease Physician
43640
KY
207RI0011X
Interventional Cardiology Physician
Primary
43640
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100182590
—
KY
Enumeration date
06/07/2007
Last updated
12/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us