Individual
KAITLYN J BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2004 ROUTE 17M, GOSHEN, NY 10924-5210
(845) 294-0661
(845) 818-9646
Mailing address
2004 ROUTE 17M, GOSHEN, NY 10924-5210
(845) 294-0661
(845) 360-9339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015142-1
NY
Other
Enumeration date
10/10/2011
Last updated
11/08/2021
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