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NPI Code Detail

MEDICARE: WESLEY W FAULKNER PA-C

MEDICARE: WESLEY W FAULKNER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA1756KY

General Provider Information

NPI Number : 1396017968
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY W FAULKNER PA-C
Provider Business Mailing Address
First Line : 1218 S. BROADWAY
Second Line : STE 310
City : LEXINGTON
State : KY
Zip : 40504-2759
Country : US
Telephone Number : 859-219-0542
Fax Number : 859-219-9433
Provider Business Practice Location Address
First Line : 1218 S. BROADWAY
Second Line : STE 310
City : LEXINGTON
State : KY
Zip : 40504-2759
Country : US
Telephone Number : 859-219-0542
Fax Number : 859-219-9433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2012
Last Update Date : 12/22/2025

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Directions to “ WESLEY W FAULKNER PA-C” Practice Location

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