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NPI Code Detail

MEDICARE: AARON PATRICK BUCKLEY

MEDICARE: AARON PATRICK BUCKLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOH
2390200000XStudent in an Organized Health Care Education/Training ProgramKY

General Provider Information

NPI Number : 1578314928
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON PATRICK BUCKLEY
Provider Business Mailing Address
First Line : 1670 UPHAM DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1250
Country : US
Telephone Number : 614-293-4540
Fax Number :
Provider Business Practice Location Address
First Line : 1670 UPHAM DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1250
Country : US
Telephone Number : 614-293-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 03/26/2026

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Directions to “ AARON PATRICK BUCKLEY ” Practice Location

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