Individual
KEVIN ERIC BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
189 OUTER LOOP, SUITE 2, LOUISVILLE, KY 40214-5544
(502) 379-8870
(502) 394-3600
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03137
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100064790
—
KY
Enumeration date
04/19/2007
Last updated
09/26/2022
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