Individual
DR. JOHN L BUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3475 RICHMOND RD, STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400
(859) 296-4300
Mailing address
3475 RICHMOND RD, STE 200, LEXINGTON, KY 40509-2500
(859) 296-4400
(859) 296-4300
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
30380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011970
CHA PROVIDER NUMBER
KY
01
—
000000317646
ANTHEM PROVIDER NUMBER
KY
01
—
0004122791
AETNA PROVIDER NUMBER
KY
Enumeration date
06/10/2005
Last updated
07/17/2012
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