Organization
BUCKLEY CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL E BUCKLEY DC (OWNER)
(620) 275-1221
Entity
Organization
Contact information
Practice address
917 E KANSAS PLZ, GARDEN CITY, KS 67846-5861
(620) 275-1221
Mailing address
917 E KANSAS PLZ, GARDEN CITY, KS 67846-5861
(620) 275-1221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04182
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
907725
BCBS GROUP PROVIDER #
KS
Enumeration date
05/15/2006
Last updated
08/10/2011
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