Individual
MICHAEL DAVID BUONCRISTIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 ROSE ST LEXINGTON KY 40536, LEXINGTON, KY 40506-0001
(859) 323-6161
Mailing address
780 ROSE ST LEXINGTON KY 40536, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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