Individual
JENNIFER BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 404-4862
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021012136
MO
390200000X
Student in an Organized Health Care Education/Training Program
2015020144
MO
Other
Enumeration date
04/06/2015
Last updated
06/04/2021
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