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Individual

DR. KENNAN JUDE BUECHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 W KINGSHIGHWAY STE 13, PARAGOULD, AR 72450-4197
(870) 239-8107
(870) 239-8115
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
(870) 239-8137

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-7408
AR
208600000X
Surgery Physician
Primary
E7408
AR
282NC0060X
Critical Access Hospital
627
LA

Other

Enumeration date
03/11/2009
Last updated
10/25/2021
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