Individual
KEVIN L. BUCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2647 S. ST ELIZABETH BLVD, GONZALES, LA 70737
(225) 647-8511
(225) 644-5213
Mailing address
2647 S. ST ELIZABETH BLVD, GONZALES, LA 70737
(225) 647-8511
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
CRTLT2440
LA
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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