Individual
DR. KENNETH ALLAN BUCHWACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5701 W 119TH ST, SUITE 320, OVERLAND PARK, KS 66209-3722
(913) 491-1400
Mailing address
5701 W 119TH ST, SUITE 320, OVERLAND PARK, KS 66209-3722
(913) 491-1400
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
04-18081
KS
207YS0123X
Facial Plastic Surgery Physician
R9029
MO
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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