Faulkner, Kenneth Michael

Faulkner, Kenneth Michael is an sole proprietor health care provider with primary practice located at 45 Research Way Suite 204, East Setauket NY 11733-6401. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Faulkner, Kenneth Michael can be contacted via phone (631) 444-3006.

Contact Information

Primary practice address
45 Research Way Suite 204 East Setauket NY 11733-6401
Phone: (631) 444-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 234412 Massachusetts
Nursing Service Providers / Critical Care Medicine 163WC0200X 512108-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305502-1 New York

Profile Details

NPI number 1720354434
LBN Legal business name Faulkner, Kenneth Michael
Credentials MS, RN, ANP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2012
Last updated May 8th, 2012 - about 14 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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