Individual
KIMBERLY M BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
21107 DONAHOO RD, TONGANOXIE, KS 66086-4153
(913) 742-4084
(913) 742-4086
Mailing address
21107 DONAHOO RD, TONGANOXIE, KS 66086-4153
(913) 742-4084
(913) 742-4086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005009417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005009417
LICENSE
MO
01
—
53-46082-081
ARNP - KS
KS
Enumeration date
12/10/2007
Last updated
04/07/2011
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