Individual
MS. JACQUELINE J BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 N 41 ST, KANSAS CITY, KS 66104-3535
(913) 287-8304
(866) 441-6055
Mailing address
2038 N 41 ST, KANSAS CITY, KS 66104-3535
(913) 287-8304
(866) 441-6055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B105115
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200306540A
—
KS
Enumeration date
07/03/2008
Last updated
07/03/2008
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