Kimberlly Michelle Buck PHD

NPI 1790963395 - Psychologist - 103T00000X

NPI Details
NPI 1790963395
Gender Female
Enumeration Date 02/06/2008
Last Updated 05/22/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
12499 BRANTLEY COMMONS CT
SUITE 101
FORT MYERS FL, 33907-5676, US
Phone (239) 278-3443
Fax (239) 278-3550
Business Location
10590 LANDAU LN
BONITA SPRINGS FL, 34135-6796, US
Phone (239) 405-7165
Fax (239) 330-2912
Toxanomy
Taxonomy Code 103T00000X
License State Florida
License Number PY 7666
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According to our database, Kimberlly Michelle Buck PHD NPI is 1790963395, taxonomy code is 103T00000X and license number is PY 7666, license state is located at Florida. Kimberlly Michelle Buck PHD physically located at 12499 Brantley Commons Ct, Fort Myers FL, 33907-5676. NPI Number Kimberlly Michelle Buck PHD has the Individual type.

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1790963395 NPI number is provided on an as is basis without warranty of any kind. 1790963395 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberlly Michelle Buck PHD are for informational purposes only.