Kelly Faulkner, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ardmore, TN
NPI 1962746461 · NPPES record last updated Nov 21, 2012
Key facts
- NPI
- 1962746461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2936 (TN)
- Practice address
- 25385 Main St
Ardmore, TN 38449-3155 - Phone
- (931) 427-2143
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2936 | TN | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2936 | TN | Yes |
Addresses
Primary practice location
25385 Main St
Ardmore, TN 38449-3155
Mailing address
25385 Main St
Ardmore, TN 38449-3155
Phone (931) 427-2143
Other providers in Ardmore, TN
- Patricia Joan Donley
- Barbara Doorenbos
- Elk River Health & Nursing Center of Ardmore LLC
- Elkton Clinic PC
- Fast Pace Medical Clinic PLLC
- Paula Gohier
- Susan L Hewgley
- HH Physician Care-Elkton Tennessee
- Independent Physical Therapy, LLC
- Jennifer Leatherwood
All providers in Ardmore, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.