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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003813478 | NPPES |
California | Other | A63401 | LICENSE |
California | Other | 8476 | LICENSE |
California | Other | 00A634010 | LICENSE |
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