Individual provider · Type 1 NPI

Kenneth Michael Faulkner, MS, RN, ANP-BC

Adult Health Nurse Practitioner · East Setauket, NY

NPI number 1720354434 Active

Practice location

45 Research Way, Suite 204
East Setauket, NY 11733-6401

Mailing address

Stony Brook University School Of Nursing, Hsc Level 2
Stony Brook, NY 11794-0001

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X234412 (MA)
Critical Care Medicine Registered Nurse 163WC0200X512108-1 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF305502-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1720354434

Kenneth Michael Faulkner, MS, RN, ANP-BC's National Provider Identifier is 1720354434, issued on Mar 27, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on May 8, 2012.