NPI Profile for KIANDRA L FAUTNER in RIDGECREST, CA.
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X |
| NPI Number | 1346041118 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/19/2025 | |
| Last updated | 06/18/2025 - About 12 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIANDRA L FAUTNER
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