Individual
MRS. KIMBERLY ANN BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 LOS MIRADORES DR NE, RIO RANCHO, NM 87124-4279
(505) 275-0812
(505) 332-7512
Mailing address
109 LOS MIRADORES DR NE, RIO RANCHO, NM 87124-4279
(505) 275-0812
(505) 332-7512
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A1518
—
NM
Enumeration date
12/08/2006
Last updated
06/12/2013
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