Individual
JAMES SAMUEL BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754
(270) 259-2700
(270) 259-2717
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 259-2700
(270) 259-2717
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26600
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700225
UNITED HEALTHCARE
KY
01
—
1048741
PASSPORT
KY
01
—
160030393
RAILROAD
KY
01
—
16638
BLUE CROSS/BLUE SHIELD
KY
01
—
610673930
EMPLOYER ID
KY
01
—
610673930P
HUMANA
KY
05
—
64266000
—
KY
Enumeration date
06/14/2005
Last updated
08/02/2018
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