Individual
MS. KATHLEEN ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4410 MEDICAL DR, SUITE 540, SAN ANTONIO, TX 78229-3755
(210) 575-6240
(210) 575-6280
Mailing address
4410 MEDICAL DR STE 540, SAN ANTONIO, TX 78229-3755
(210) 575-6240
(210) 575-6280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP106709
TX
363LP0200X
Pediatric Nurse Practitioner
532828
TX
Other
Enumeration date
03/31/2006
Last updated
06/18/2020
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