| Kimberly M Buckley, ARNP | |
|
21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | |
| (913) 742-4084 | |
| (913) 742-4086 |
| Full Name | Kimberly M Buckley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 21107 Donahoo Rd, Tonganoxie, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265615504 | NPI | - | NPPES |
| 2005009417 | Other | MO | LICENSE |
| 53-46082-081 | Other | KS | ARNP - KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2005009417 (Missouri) | Primary |
| Entity Name | Mid America Senior Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942356977 PECOS PAC ID: 6406827435 Enrollment ID: O20050707000856 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M Buckley, ARNP 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 | Kimberly M Buckley, ARNP 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 |
Mr. Fletcher M. M. Schubert, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 4th Street, Tonganoxie, KS 66086 Phone: 913-335-0152 | |
Rebecca Steffey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 | |
Lorelei M Sunderland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 | |
Timothy Badger, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21107 Donahoo Rd, Tonganoxie, KS 66086 Phone: 913-742-4084 Fax: 913-742-4086 | |
Mr. Roger J Bidwell, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21107 Donahoo Rd, Tonganoxie, KS 66086 Phone: 913-742-4084 Fax: 913-742-4086 | |
Raquel Atwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18275 182nd St, Tonganoxie, KS 66086 Phone: 913-626-2579 |