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Individual

KYLIE BUCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC, DIPL. OM

Contact information

Practice address
741 KENILWORTH AVE STE 204, CHARLOTTE, NC 28204-3873
(704) 307-7821
Mailing address
9139 SIMONTON DR, CHARLOTTE, NC 28269-8007
(404) 617-9748

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC-2220
NC

Other

Enumeration date
02/02/2024
Last updated
02/02/2024
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