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Individual

DR. KATHRYN SUE REINHARDT BUCSHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12613 CHESDIN LANDING DR, CHESTERFIELD, VA 23838-3231
(804) 301-4830
(804) 863-4626
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-2240
(812) 450-2710

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01049634A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216536
BCBS PIN
IN
01
000000500998
BCBS - DEACONESS GATEWAY
IN
05
200271630
IN
05
64043730
KY
01
P00365276
RR MEDICARE
IN
Enumeration date
10/05/2006
Last updated
12/05/2017
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