Kevin Ray Buckwalter MD

NPI 1003813478 - Family Medicine - 207Q00000X

NPI Details
NPI 1003813478
Gender Male
Enumeration Date 06/30/2005
Last Updated 02/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3939 J ST
SUITE 304
SACRAMENTO CA, 95819-3636, US
Phone (916) 733-6993
Fax (916) 733-6989
Business Location
3939 J ST
SUITE 304
SACRAMENTO CA, 95819-3636, US
Phone (916) 733-6993
Fax (916) 733-6989
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A63401
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According to our database, Dr. Kevin Ray Buckwalter MD NPI is 1003813478, taxonomy code is 207Q00000X and license number is A63401, license state is located at California. Kevin Ray Buckwalter MD physically located at 3939 J St, Sacramento CA, 95819-3636. NPI Number Kevin Ray Buckwalter MD has the Individual type.

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1003813478 NPI number is provided on an as is basis without warranty of any kind. 1003813478 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Ray Buckwalter MD are for informational purposes only.