Faulkner, Kimberly Hope

Faulkner, Kimberly Hope is an sole proprietor health care provider with primary practice located at 3641 Teaberry Dr , Dayton OH 45424-5011. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Faulkner, Kimberly Hope can be contacted via phone (937) 559-4107.

Contact Information

Primary practice address
3641 Teaberry Dr Dayton OH 45424-5011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1538246293
LBN Legal business name Faulkner, Kimberly Hope
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538246293 NPPES
Ohio MEDICAID 2447070

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