Individual
DR. WILLIAM J FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
Mailing address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31051
KY
207W00000X
Ophthalmology Physician
35044577
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021249
BCBS
—
05
—
0454360
—
OH
05
—
100373630
—
IN
01
—
180026064
RAILROAD MEDICARE
OH
05
—
64783525
—
KY
Enumeration date
05/02/2006
Last updated
07/14/2021
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