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1760873939
BRANDY BUCKHALTER
PADUCAH, KY
NPI
1760873939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009074)
Enumeration Date
2015-02-10
Last Update Date
2020-12-08
Business Address
BRANDY BUCKHALTER APRN
2603 KENTUCKY AVE SUITE 105
PADUCAH, KY 42003-3814
Phone number: 270-443-4802
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Mailing Address
BRANDY BUCKHALTER APRN
2605 KENTUCKY AVE SUITE 306
PADUCAH, KY 42003-3800
Phone number: 270-415-7653
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