Buckley, Kim Jean

Buckley, Kim Jean is an individual health care provider with primary practice located at 5920 Mcintyre St , Golden CO 80403-7445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Buckley, Kim Jean can be contacted via phone (303) 949-1250.

Contact Information

Primary practice address
5920 Mcintyre St Golden CO 80403-7445
Phone: (303) 949-1250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1535 Colorado

Profile Details

NPI number 1144258252
LBN Legal business name Buckley, Kim Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 21st, 2022 - about 4 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 1144258252 NPPES
Colorado MEDICAID 00438715

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