Individual
LINDSEY KYLE FAUDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-4497
Mailing address
3369 E RHETT BUTLER RD, CLARKSVILLE, TN 37042-8521
(931) 551-5062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
06/21/2009
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