Buckwalter, Kevin Ray

Buckwalter, Kevin Ray is an individual health care provider with primary practice located at 7151 Cascade Valley Ct Ste 200 , Las Vegas NV 89128-0498. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Buckwalter, Kevin Ray can be contacted via phone (702) 568-8450.

Contact Information

Primary practice address
7151 Cascade Valley Ct Ste 200 Las Vegas NV 89128-0498
Phone: (702) 568-8450
Fax: (702) 568-8451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A63401 California
Allopathic & Osteopathic Physicians / Surgery 208600000X A63401 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A63401 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 8476 Nevada

Profile Details

NPI number 1003813478
LBN Legal business name Buckwalter, Kevin Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 17th, 2018 - about 6 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 1003813478 NPPES
California Other A63401 LICENSE
California Other 8476 LICENSE
California Other 00A634010 LICENSE

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