NPI 1013538818

Kenneth Patrick Buckley, PHARMD

Practitioner Pharmacist Mankato, MN

Practice location

Address: 1175 Madison Ave, Mankato, MN 56001-5227
Phone: (507) 625-1791
Fax: (507) 625-9262

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 120201 (MN)

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Registry record

NPI: 1013538818
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2020
Record last updated: 3 May 2020

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.