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Individual
JOHN KYLE BUCHANAN
Active
Individual
JOHN KYLE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982635322
GROUP NPI #
CA
01
—
DE3952
MEDICARE RAILROAD GROUP #
CA
01
—
P00289937
MEDICARE RAILROAD IND. #
CA
01
—
W15225
MEDICARE PTAN #
CA
Enumeration date
03/07/2006
Last updated
12/15/2017
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