MR. Jesse Robert Faulkner

NPI #1760371678 in Harlan, Kentucky

Provider Information

NPI Number: 1760371678
Entity Type: Individual
Name: MR. Jesse Robert Faulkner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 3, 2025
Last Updated: Jul 3, 2025

Practice Location

Address: 81 BALL PARK RD
City: Harlan
State: Kentucky
ZIP Code: 40831-1701
Phone: (606) 572-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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