Buczynski, Kenneth Robert

Buczynski, Kenneth Robert is an individual health care provider with primary practice located at 311 N 4Th St Suite 1, Oakland MD 21550-1395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Buczynski, Kenneth Robert can be contacted via phone (301) 334-7855.

Contact Information

Primary practice address
311 N 4Th St Suite 1 Oakland MD 21550-1395
Phone: (301) 334-7855
Fax: (301) 334-7828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0061801 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0061801 Maryland

Profile Details

NPI number 1790704914
LBN Legal business name Buczynski, Kenneth Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 27th, 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 1790704914 NPPES
West Virginia MEDICAID 3810001034
West Virginia Other K079-0001

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