Individual
KRISTOPHER BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 629-2880
Mailing address
601 S FLOYD ST STE 407, LOUISVILLE, KY 40202-1837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1124951
KY
163W00000X
Registered Nurse
28212658A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
3009158
KY
Other
Enumeration date
12/02/2014
Last updated
03/30/2015
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