Individual provider · Type 1 NPI
Kevin Ray Buckwalter, MD
General Practice Physician · Las Vegas, NV
NPI number
1003813478
Active
Practice location
7151 Cascade Valley Ct Ste 200
Las Vegas, NV 89128-0498
Fax (702) 568-8451
Mailing address
1280 Monument Blvd, # 1
Concord, CA 94520-4405
Other practice locations
- 1280 Monument Blvd, # 1, Concord, CA 94520-4405 · (916) 733-6993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | A63401 (CA) |
| Surgery Physician | 208600000X | A63401 (CA) |
| General Practice Physician | 208D00000X | A63401 (CA) |
| General Practice Physician Primary | 208D00000X | 8476 (NV) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1003813478
Kevin Ray Buckwalter, MD's National Provider Identifier is 1003813478, issued on Jun 30, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 17, 2018.