NPI 1255569612

Janice Renee Faught, IDMT

Practitioner Independent Duty Medical Technicians McConnell Afb, KS

Practice location

Address: 57950 Leavenworth St Bldg 250, McConnell Afb, KS 67221-3506
Phone: (316) 759-5022
Mailing address: 2243 Ironwood CT, Derby, KS 67037-3150

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1255569612
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2009
Record last updated: 24 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.