Individual
DR. LEROY SELBY BUCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
237 E. SIXTH ST., RUSSELLVILLE, KY 42276-1917
(270) 726-3629
(270) 726-3626
Mailing address
907 EAGLE CT., BOWLING GREEN, KY 42103-2515
(270) 843-1371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13284
KY
2084P0800X
Psychiatry Physician
Primary
13284
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13284
STATE LICENSE
KY
Enumeration date
05/30/2006
Last updated
03/07/2023
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