Individual
DR. DENNIS R. FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 BOGLE ST STE A, SOMERSET, KY 42503-2873
(606) 679-7353
Mailing address
347 BOGLE ST STE A, SOMERSET, KY 42503-2873
(606) 679-7353
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64231517
—
KY
01
—
7423
MEDICARE GROUP
—
Enumeration date
11/07/2006
Last updated
08/15/2012
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