Individual
MRS. KERRY ELIZABETH BUICKO
Active
Individual
MRS. KERRY ELIZABETH BUICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
861786
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP127061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342729602
—
TX
01
—
8506NS
BCBS
TX
Enumeration date
03/04/2014
Last updated
04/15/2019
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