Individual
MATTHEW J BUCKNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14104168
KS
367500000X
Certified Registered Nurse Anesthetist
2019006510
MO
367500000X
Certified Registered Nurse Anesthetist
D184960
IA
Other
Enumeration date
03/21/2011
Last updated
08/20/2025
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