Individual provider · Type 1 NPI

Kimberly Buckner

Point of Service · Florissant, MO

NPI number 1376356345 Active

Practice location

11930 Kingshead Dr
Florissant, MO 63033-7822

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1376356345

Kimberly Buckner's National Provider Identifier is 1376356345, issued on Jan 31, 2025. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Florissant, MO. The record was last updated on Jan 31, 2025.