Kevin Ray Buckwalter in Concord - Family Medicine

Kevin Ray Buckwalter - NPI 1003813478

Kevin Ray Buckwalter is a Family Medicine in Concord, California. Kevin Ray Buckwalter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin Ray Buckwalter is 1003813478. The last update date is 2018-03-17.

Kevin Ray Buckwalter's current location address is 1280 Monument Blvd, Concord, California. You can contact this provider via phone number 9167336993 and fax number 9167336989. The mailing address for Kevin Ray Buckwalter is 1280 Monument Blvd, Concord, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Ray Buckwalter
Address 1280 Monument Blvd, Concord, California
Phone Number 9167336993
Fax Number 9167336989
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003813478
Provider Enumeration Date 2005-06-30
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 1280 Monument Blvd
City Concord
State California (CA)
Post Code 945204405
Phone Number 9167336993
Fax Number 9167336989

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A63401
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A63401 CA LICENSE
8476 NV LICENSE
00A634010 CA MCARE PTAN

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FAQs about Kevin Ray Buckwalter

What is the unique identifier code issued to Kevin Ray Buckwalter by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin Ray Buckwalter has been assigned the NPI (National Provider Identifier) 1003813478. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Kevin Ray Buckwalter is physically located?

The Kevin Ray Buckwalter is physically situated at the following address: 1280 Monument Blvd, Concord, CA, 945204405.

What is the Kevin Ray Buckwalter's specialty and taxonomy code?

The Kevin Ray Buckwalter's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Kevin Ray Buckwalter receive the assignment of its 1003813478 from the Centers for Medicare & Medicaid Services?

The Kevin Ray Buckwalter was issued its 1003813478 by the Centers for Medicare & Medicaid Services on 2005-06-30.

When was the information regarding Kevin Ray Buckwalter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kevin Ray Buckwalter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.

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