# DR. KIMBERLY A. BUCKNER, P.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376136705
- **Authorized official:** DR. KIMBERLY ANNE BUCKNER DMD (OWNER)
- **Authorized official phone:** (606) 738-5545

## Contact information

- **Practice address:** 38 J F GREEN ST, SANDY HOOK, KY 41171-7134
- **Practice address phone:** (606) 738-5545
- **Practice address fax:** (606) 738-5405
- **Mailing address:** PO BOX 85, SANDY HOOK, KY 41171-0085
- **Mailing address phone:** (606) 738-5545
- **Mailing address fax:** (606) 738-5405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2021
- **Last updated:** 02/17/2021