Individual
KEVIN BUFFHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 LATHROP ST STE 123, FAIRBANKS, AK 99701-5937
(907) 455-4401
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0134914
VT
225100000X
Physical Therapist
Primary
111970
AK
Other
Enumeration date
08/28/2016
Last updated
01/23/2026
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