Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khandra Dell Faulkner, MS, RDN

Individual provider Registered Dietitian · NPI 1720936883

Khandra Dell Faulkner, MS, RDN is a Registered Dietitian OR Nutrition Professional in Conway, Arkansas. Qualified in 2000, 26 years ago. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2026
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

2200 Bruce St
Conway, AR 72034-6108
Phone: (501) 470-7457
Fax: (501) 450-3296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 899239 (AR)

Record details

NPI number1720936883
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN
Sole proprietorNo
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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