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KIMBERLY M BUCKLEY ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1265615504

Individual Registrant:
 KIMBERLY M BUCKLEY ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
21107 DONAHOO RD  TONGANOXIE, KS 66086-4153 US
Tel: 913-742-4084  Fax: 913-742-4086

Contact information for business:
21107 DONAHOO RD  TONGANOXIE, KS 66086-4153 US
Tel: 913-742-4084  Fax: 913-742-4086

Registration Information:
NPI: 1265615504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MO2005009417

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE2005009417MO01
ARNP - KS53-46082-081KS01




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