Individual
KIM BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5500
Mailing address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28138291A
IN
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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