MR. KENNETH MICHAEL FAULKNER MS, RN, ANP-BC
NPI 1720354434
Nurse Practitioner - Adult Health in East Setauket, NY

Active since March 27, 2012
45 RESEARCH WAY, SUITE 204, EAST SETAUKET, NY 11733(631) 444-3006 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kenneth Michael Faulkner Ms, Rn, Anp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH MICHAEL FAULKNER MS, RN, ANP-BC (NPI 1720354434) is an individual adult health provider in East Setauket, New York, licensed in New York (F305502-1) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1720354434
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. KENNETH MICHAEL FAULKNERCredential: MS, RN, ANP-BC
Location Address45 RESEARCH WAY, SUITE 204East Setauket, NY 11733-6401
Mailing AddressStony Brook University School Of Nursing, Hsc Level 2Stony Brook, NY 11794-0001 · (631) 444-3006
Sole ProprietorYes
Enumeration DateMarch 27, 2012
Last NPPES UpdateMay 8, 2012
NPI 1720354434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F305502-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 234412 (MA)
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 512108-1 (NY)
45 RESEARCH WAY, East Setauket, NY 11733

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY, SUITE 008 & 108
EAST SETAUKET, NY 11733
Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY, SUITE 008 & 108
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
45 RESEARCH WAY, SUITE 108
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
45 RESEARCH WAY, SUITE 008 & 108
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
45 RESEARCH WAY, SUITE 008 & 108
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
45 RESEARCH WAY, SUITE 008 & 108
EAST SETAUKET, NY 11733
Dietitian, Registered
45 RESEARCH WAY
EAST SETAUKET, NY 11733
Internal Medicine (Cardiovascular Disease)
45 RESEARCH WAY
EAST SETAUKET, NY 11733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720354434, enumerated as an "individual" on March 27, 2012.

The provider is located at 45 RESEARCH WAY SUITE 204 EAST SETAUKET, NY 11733 and the phone number is (631) 444-3006.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.