Individual
KERRI LYNN BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEC.ED TEACHER
Contact information
Practice address
336 E MAIN ST, ALBION, IL 62806-1402
(618) 302-7794
Mailing address
336 E MAIN ST, ALBION, IL 62806-1402
(618) 302-7794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2140837
IL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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