Healthcare Provider Details

I. General information

NPI: 1275459638
Provider Name (Legal Business Name): ASHLEY R FAULKNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 SHOPPERS DR
WINCHESTER KY
40391-2808
US

IV. Provider business mailing address

505 SHOPPERS DR
WINCHESTER KY
40391-2808
US

V. Phone/Fax

Practice location:
  • Phone: 859-359-1896
  • Fax:
Mailing address:
  • Phone: 859-359-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW00001241
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: