AVERY ALEXANDER BUCKLES
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1831849470- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 910 WALLACE AVE STE 102, LEITCHFIELD, KY, 42754
- Phone
- (270) 259-8888
Specialties & Taxonomies
Family Medicine
Primary License: KY #06099
Student in an Organized Health Care Education/Training Program