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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1497714026 | NPPES |
Texas | Other | 0093DH | BCBS |
Texas | MEDICAID | 113742404 | BCBS |
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