KAITLIN BUCKNER

WOODBURY, MN
NPI1104852094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10495)
Additional Taxonomies363A00000X Physician Assistant
(Licence: UT  6669778-1206)
363A00000X Physician Assistant
(Licence: AZ  3127)
363A00000X Physician Assistant
(Licence: OK  1414)
363A00000X Physician Assistant
(Licence: OR  PA223121)
363A00000X Physician Assistant
(Licence: AK  PADA1230)
363A00000X Physician Assistant
(Licence: CA  PA65471)
Enumeration Date2006-06-23
Last Update Date2025-05-18
Business Address
KAITLIN BUCKNER P.A.
6043 HUDSON RD STE 220
WOODBURY, MN 55125-1033
Phone number: 651-925-8200
Mailing Address
KAITLIN BUCKNER P.A.
64 TOUCHSTONE
LAKE OSWEGO, OR 97035-1909
Phone number: 702-994-4332