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Individual

KYLE BUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
915 E MARKET AVE BOX 12265, SEARCY, AR 72149-0001
(501) 279-4475
Mailing address
915 E MARKET AVE BOX 12265, SEARCY, AR 72149-0001

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
227881
AR

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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