Individual
KRISTA BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 FISHER RD UNIT 1, BERLIN, VT 05602-8132
(802) 371-4316
Mailing address
111 COLCHESTER AVE, MS 259PA4, BURLINGTON, VT 05401-1473
(802) 847-2700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0014250
VT
Other
Enumeration date
03/26/2016
Last updated
02/12/2021
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