Individual
DR. KEVIN BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
751 QUAIL JOHN RD, EAST THETFORD, VT 05043-9615
(802) 785-4417
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0009705
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108291Y0VT01
ANTHEM NH
VT
05
—
0VN1795
—
VT
01
—
2002983
CIGNA
VT
01
—
38694
BLUE CROSS
VT
Enumeration date
10/19/2006
Last updated
07/08/2007
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