Faulkner, Kendall R
Faulkner, Kendall R is an individual health care provider with primary practice located at 6565 N Charles St Ste 209, Baltimore MD 21204-6800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Faulkner, Kendall R can be contacted via phone (443) 849-3184.Contact Information
Primary practice address
6565 N Charles St Ste 209
Baltimore MD 21204-6800
Phone: (443) 849-3184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D25643 | Maryland |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | D25643 | Maryland |
Profile Details
| NPI number | 1790718120 |
|---|---|
| LBN Legal business name | Faulkner, Kendall R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 13th, 2007 - about 18 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 | 1790718120 | NPPES |
| Maryland | Other | KJ15-39808203 | CAREFIRST MARYLAND |
| Maryland | Other | S1380089 | CAREFIRST MARYLAND |
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