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Individual

DR. MARK RICHARD BUCKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7211 US 42, FLORENCE, KY 41042-1901
(859) 817-0817
(859) 817-1329
Mailing address
7211 US 42, FLORENCE, KY 41042-1901
(859) 817-0817
(859) 817-1329

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4937
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2389204
OH
Enumeration date
11/08/2006
Last updated
02/17/2010
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