Individual
ROBERT KENDALL BUCKENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1642 E HERNDON AVE, SUITE 103, FRESNO, CA 93720-3377
(559) 439-8642
(559) 433-9834
Mailing address
1642 E HERNDON AVE, SUITE 103, FRESNO, CA 93720-3377
(559) 439-8642
(559) 433-9834
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E39310
—
CA
Enumeration date
10/20/2006
Last updated
02/26/2008
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