Individual
CHASE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
215 TAYLOR AVE APT 2, BELLEVUE, KY 41073-1143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1153607
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3017816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153607
KENTUCKY BOARD OF NURSING
—
Enumeration date
01/03/2022
Last updated
05/31/2022
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