Individual
AVERY ALEXANDER BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 WALLACE AVE STE 102, LEITCHFIELD, KY 42754
(270) 259-8888
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06099
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
10/06/2025
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