Buckles, Lisa Kim

Buckles, Lisa Kim is an individual health care provider with primary practice located at 300 Twining St Bldg 760 , Maxwell Afb AL 36112-6027. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Buckles, Lisa Kim can be contacted via phone (334) 953-5200.

Contact Information

Primary practice address
300 Twining St Bldg 760 Maxwell Afb AL 36112-6027
Phone: (334) 953-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN00160391 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN00160391 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60658000 Washington

Profile Details

NPI number 1851435887
LBN Legal business name Buckles, Lisa Kim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 17th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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