Individual
DR. KENDALL R FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST, STE 209, BALTIMORE, MD 21204-6800
(443) 849-3184
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D25643
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D25643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KJ15-39808203
CAREFIRST MARYLAND
MD
01
—
S1380089
CAREFIRST REGIONAL
MD
Enumeration date
07/09/2006
Last updated
07/13/2007
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