Individual
ANGELA MICHELE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 GLENSBORO RD STE 8, LAWRENCEBURG, KY 40342-9084
(502) 604-1129
Mailing address
1339 LOCK RD, LAWRENCEBURG, KY 40342-9696
(502) 604-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5649P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091915
RN LICENSE
KY
01
—
3005649
APRN KENTUCKY BOARD OF NURSING LICENSE
KY
05
—
7100058790
—
KY
Enumeration date
09/24/2008
Last updated
11/30/2018
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