Dr. Kevin Ray Buckwalter
Surgeon Family Doctor General Practice Physician
7151 Cascade Valley Ct Ste 200
Las Vegas
, Nevada 89128-0498
Dr. Kevin Ray Buckwalter
Surgeon Family Doctor General Practice Physician
7151 Cascade Valley Ct Ste 200
Las Vegas
, Nevada 89128-0498
(916) 733-6989
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About
Features
Specialties
- Family Doctor
- Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Kevin Ray Buckwalter
- 1280 Monument Blvd # 1
- Concord, CA
- Zip : 94520-4405
- Fax : (916) 733-6989
- Phone : (916) 733-6993
Second Address
- Dr. Kevin Ray Buckwalter
- 7151 Cascade Valley Ct Ste 200
- Las Vegas, NV
- Zip : 89128-0498
- Fax : (702) 568-8451
- Phone : (702) 568-8450
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | A63401 | CA |
| N | 208200000X | Surgeon | A63401 | CA |
| N | 208600000X | Surgeon | A63401 | CA |
| Y | 208D00000X | General Practice Physician | 8476 | NV |
| N | 208D00000X | General Practice Physician | A63401 | CA |
National Provider Identifier
| NPI | 1003813478 |
|---|---|
| Provider Name | Dr. Kevin Ray Buckwalter |
| First Address | Concord, CA 94520-4405 |
| Second Address | Las Vegas, NV 89128-0498 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2005 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A634010 | MCARE PTAN (01) | CA |
| 8476 | LICENSE (01) | NV |
| A63401 | LICENSE (01) | CA |
| G65301 | (02) | CA |
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.