Faulkner, Kim Knox

Faulkner, Kim Knox is an individual health care provider with primary practice located at 135 Pine Street Suite B, Buffalo WY 82834-2332. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Faulkner, Kim Knox can be contacted via phone (307) 684-5828.

Contact Information

Primary practice address
135 Pine Street Suite B Buffalo WY 82834-2332
Phone: (307) 684-5828
Fax: (307) 684-5803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 223 Wyoming

Profile Details

NPI number 1215928965
LBN Legal business name Faulkner, Kim Knox
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 29th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215928965 NPPES
Wyoming MEDICAID 119212400

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