Buley, Kenneth J

Buley, Kenneth J is an individual health care provider with primary practice located at 6551 Harris Pkwy Suite 110, Fort Worth TX 76132-6105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Buley, Kenneth J can be contacted via phone (817) 370-8833.

Contact Information

Primary practice address
6551 Harris Pkwy Suite 110 Fort Worth TX 76132-6105
Phone: (817) 370-8833
Fax: (817) 370-8852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J4012 Texas

Profile Details

NPI number 1497714026
LBN Legal business name Buley, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 25th, 2012 - about 14 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 1497714026 NPPES
Texas Other 0093DH BCBS
Texas MEDICAID 113742404 BCBS

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