Dr. Kevin Donald Buckley
Pediatric Emergency Physician
34800 Bob Wilson Dr Nmcsd
San Diego
, California 92134-1098
Dr. Kevin Donald Buckley
Pediatric Emergency Physician
34800 Bob Wilson Dr Nmcsd
San Diego
, California 92134-1098
(619) 532-8274
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Kevin Donald Buckley
- 34800 Bob Wilson Dr Nmcsd
- San Diego, CA
- Zip : 92134-1098
- Phone : (619) 532-8274
Second Address
- Dr. Kevin Donald Buckley
- 34800 Bob Wilson Dr Nmcsd
- San Diego, CA
- Zip : 92134-1098
- Phone : (619) 532-8274
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | G87482 | CA |
National Provider Identifier
| NPI | 1568566008 |
|---|---|
| Provider Name | Dr. Kevin Donald Buckley |
| First Address | San Diego, CA 92134-1098 |
| Second Address | San Diego, CA 92134-1098 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2006 |
| Last Update Date | 26/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G874820 | (05) | CA |
| 00G874820851 | CAL OPTIMA (01) | CA |
| I50054 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.