Individual
KELLY LYNN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 CORPORATE BLVD, NORFOLK, VA 23502-4975
(757) 622-2200
Mailing address
210 FLEMINGTON RD SE, HUNTSVILLE, AL 35802-2304
(256) 520-6220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
06/25/2024
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