Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN RAY BUCKWALTER, MD
ActiveGeneral Practice · LAS VEGAS, NV
Registration Details
- NPI Number
- 1003813478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (20.807680825899 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
A63401 (CA)A63401 (CA)A63401 (CA)8476 (NV)
Practice Information
- Address
-
7151 CASCADE VALLEY CT STE 200LAS VEGAS, NV, 891280498Browse NV providers · Browse ZIP 89128
- Phone
- 7025688450
- Fax
- 7025688451
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
Other General Practice Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| ETHAN MILTON CRUVANT | MD | 1740287192 |
| MRS. LISA A TAUAI | RD, MBA | 1487645560 |
| DR. BRADLEY S WALKER | M.D. | 1194783530 |
| DR. TAWNI J CHRISTENSEN | MD | 1881640662 |
| DR. PETER DUX | MD | 1851338917 |
| ROBERT DON MERRILL | DO | 1669491031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.