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Individual

DR. RANDALL E. BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
917 E KANSAS PLZ, GARDEN CITY, KS 67846-5861
(620) 275-1221
Mailing address
917 E KANSAS PLZ, GARDEN CITY, KS 67846-5861
(620) 275-1221

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04182
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060893
BCBS IND. NUMBER
KS
Enumeration date
02/09/2007
Last updated
08/10/2011
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