Individual
KYLIE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 471-2488
Mailing address
106 LITTLE RUN RD, BIRCH RIVER, WV 26610-8084
(386) 385-2943
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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