Individual
DANIEL C BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, RM 4035, WESCOE MAILSTOP 1023, KANSAS CITY,, KS 66160
(913) 588-6000
Mailing address
3901 RAINBOW BLVD, RM 4035, WESCOE MAILSTOP 1023, KANSAS CITY,, KS 66160
(913) 588-6003
(913) 588-3975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-29552
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316250A
—
KS
05
—
207329400
—
MO
01
—
35362011
BCBS KC
MO
01
—
927245
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
05/28/2014
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