Individual
RONALD FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2602
(270) 352-4601
(270) 352-4600
Mailing address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2602
(270) 352-4601
(270) 352-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64196363
—
KY
Enumeration date
06/07/2006
Last updated
03/07/2023
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