Robert Kendall Buckenberger
Podiatrist
1642 E Herndon Ave Suite 103
Fresno
, California 93720-3377
Robert Kendall Buckenberger
Podiatrist
1642 E Herndon Ave Suite 103
Fresno
, California 93720-3377
(559) 433-9834
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Robert Kendall Buckenberger
- 1642 E Herndon Ave Suite 103
- Fresno, CA
- Zip : 93720-3377
- Fax : (559) 433-9834
- Phone : (559) 439-8642
Second Address
- Robert Kendall Buckenberger
- 1642 E Herndon Ave Suite 103
- Fresno, CA
- Zip : 93720-3377
- Fax : (559) 433-9834
- Phone : (559) 439-8642
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Is Robert Kendall Buckenberger a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3931 | CA |
| Y | 222Z00000X | Podiatrist | E3931 | CA |
National Provider Identifier
| NPI | 1063594778 |
|---|---|
| Provider Name | Robert Kendall Buckenberger |
| First Address | Fresno, CA 93720-3377 |
| Second Address | Fresno, CA 93720-3377 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2006 |
| Last Update Date | 26/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E39310 | (05) | CA |
| U49729 | (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.