Faulk, Kellie A
Faulk, Kellie A is an individual health care provider with primary practice located at 1400 Westgate Center Drive Suite 130, Winston Salem NC 27103-3104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Faulk, Kellie A can be contacted via phone (336) 659-8703.Contact Information
Primary practice address
1400 Westgate Center Drive Suite 130
Winston Salem NC 27103-3104
Phone: (336) 659-8703
Fax: (336) 659-8704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 9601607 | North Carolina |
Profile Details
| NPI number | 1023000676 |
|---|---|
| LBN Legal business name | Faulk, Kellie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Dec 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023000676 | NPPES |
| North Carolina | MEDICAID | 891003P |
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