Individual
KAITLYN E BUXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-1106
(330) 747-0491
Mailing address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-1106
(330) 747-0491
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.005197RX
OH
363A00000X
Physician Assistant
Primary
50.005197RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250349
—
OH
Enumeration date
09/14/2017
Last updated
07/15/2019
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