Buckley, Kevin Donald

Buckley, Kevin Donald is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Nmcsd, San Diego CA 92134-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Buckley, Kevin Donald can be contacted via phone (619) 532-8274.

Contact Information

Primary practice address
34800 Bob Wilson Dr Nmcsd San Diego CA 92134-1098
Phone: (619) 532-8274
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X G87482 California

Profile Details

NPI number 1568566008
LBN Legal business name Buckley, Kevin Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 26th, 2007 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568566008 NPPES
California MEDICAID 00G874820
California Other 00G874820851

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