Individual
ALICE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3728 S REED RD, KOKOMO, IN 46902-3829
(765) 626-7110
Mailing address
1513 IRONWOOD DR, MARION, IN 46952-1564
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
01080469A
IN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
E4648
AR
Other
Enumeration date
01/06/2006
Last updated
03/27/2026
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