Individual
DR. KERRY LOUISE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7419
(904) 542-7839
Mailing address
236 N BRIDGE CREEK DR, ST JOHNS, FL 32259-8882
(301) 537-1680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0000048093
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2010
Last updated
11/15/2025
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