Krystle Buckner
Individual provider Active NPI Prosthetics Case Management · Columbia, SC
NPI 1831829902 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1831829902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetics Case Management 1744P3200X
- License
- 34984 (SC)
- Practice address
- 1930 Oak St
Columbia, SC 29204-1025 - Phone
- (803) 463-1023
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 34984 | SC | MD | Prosthetics Case Management |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 34984 | SC | Yes |
Addresses
Primary practice location
1930 Oak St
Columbia, SC 29204-1025
Mailing address
1930 Oak St
Columbia, SC 29204-1025
Phone (803) 463-1023
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Blackberry | Other |
Other providers in Columbia, SC
- Rebecca Anne Buchanan
- Martha Hutchinson Buck
- Jacqueline Griffo Buckland
- John J Buckland
- Whitney Renee Wise Buckland
- Camilla Devi Buddhu
- John E Buerkert
- Shawn Buford
- Tatiana Bufton
- Shannon Bui
All providers in Columbia, SC · Prosthetics Case Management in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. 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.