Kerri Lynn Buckman, SPEC.ED TEACHER
Individual provider Active NPI Specialist · Albion, IL
NPI 1215241237 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1215241237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 2140837 (IL)
- Practice address
- 336 E Main St
Albion, IL 62806-1402 - Phone
- (618) 302-7794
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2140837 | IL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2140837 | IL | Yes |
Addresses
Primary practice location
336 E Main St
Albion, IL 62806-1402
Mailing address
336 E Main St
Albion, IL 62806-1402
Phone (618) 302-7794
Other providers in Albion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.