Krystle Buckner
Specialist, Prosthetics Case Management in Columbia, SC. Individual provider (NPI-1).
NPI number1831829902
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1831829902
- Entity type
- Individual (NPI-1)
- Name
- Krystle Buckner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2022
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 34984 | SC | Yes |
Practice location
1930 Oak StColumbia, SC 29204-1025
Phone 803-463-1023
Mailing address
1930 Oak StColumbia, SC 29204-1025
Phone 803-463-1023
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