| Doctor Name: | MARY I BUCKLAND |
| NPI Number: | 1912066986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | 45691 |
| Business Practice Address: | 2790 Clay Edwards Dr Suite 410 N Kansas City, MO - 641163276 |
| Business Phone Number: | 8164749353 |
| Business Fax Number: | 8164743627 |
| Mailing Address: | 2790 Clay Edwards Dr, Suite 410 N KANSAS CITY |
| State: | MO |
| Postal Code: | 641163276 |
| Phone Number: | 8164749353 |
| Fax Number: | 8164743627 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 45691 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |