Whalio Doctors

NPI 1003813478

Kevin Ray Buckwalter, MD

Practitioner General Practice Physician Las Vegas, NV

Practice location

Address
7151 Cascade Valley CT STE 200, Las Vegas, NV 89128-0498
Phone
(702) 568-8450
Fax
(702) 568-8451
Mailing address
1280 Monument Blvd # 1, Concord, CA 94520-4405

Registered specialties (4)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 8476 (NV)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A63401 (CA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence A63401 (CA)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A63401 (CA)

Registry record

NPI
1003813478
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2005
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.