Individual
RYAN THOMAS FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4004 LOUISA RD, CATLETTSBURG, KY 41129
(606) 739-6095
(606) 739-8252
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012580
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.023474
OH
Other
Enumeration date
08/02/2018
Last updated
08/16/2018
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