Individual
DR. KIMBERLY ANNE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
38 J F GREEN ST, SANDY HOOK, KY 41171-7134
(606) 738-5545
Mailing address
P.O. BOX 85, SANDY HOOK, KY 41171
(606) 495-5245
(606) 738-5405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7741
KY
1223G0001X
General Practice Dentistry
Primary
7741
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45002581
EPSDT ID
KY
05
—
60000791
—
KY
Enumeration date
02/15/2007
Last updated
01/26/2021
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