Individual
KENTRA VICTORIA FALKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4580 HIGHWAY 4 W, HOLLY SPRINGS, MS 38635-7061
(901) 240-7178
Mailing address
4580 HIGHWAY 4 W, HOLLY SPRINGS, MS 38635-7061
(901) 240-7178
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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