Individual
KETAN PURNEDU BUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, L543 KY CLINIC, LEXINGTON, KY 40536-0001
(859) 323-5661
(859) 257-2418
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 218-5677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33341
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33341
KY
207RP1001X
Pulmonary Disease Physician
Primary
33341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64013121
—
KY
Enumeration date
08/11/2006
Last updated
04/10/2012
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