Individual provider · Type 1 NPI

Takatiya Buckner

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1609683960 Active

Practice location

901 S 4th St
Louisville, KY 40203-3205

Call (502) 585-9911 Map

Mailing address

6415 Venango Dr
Louisville, KY 40258-2969

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609683960

Takatiya Buckner's National Provider Identifier is 1609683960, issued on Dec 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Dec 11, 2024.