MEDICARE: KENNETH CHANCE BUCKNER

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1700384203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH CHANCE BUCKNER

Provider Business Mailing Address
First Line	:	2200 TAXCO RD APT 111E
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-2002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 TAXCO RD APT 111E
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-2002
Country	:	US
Telephone Number	:	903-576-2207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	01/30/2018

Similar Medicare Providers

1417884750 — VERO OT
Practice Location Address:

4812 BARNETT ST
FORT WORTH, TX
76103-2002

Practice Phone: 857-891-5061
Practice Fax:

1629040753 — CUC HOANG CRNA
Practice Location Address:

500 THROCKMORTON ST , #2002
FORT WORTH, TX
76102-3708

Practice Phone: 214-923-3508
Practice Fax:

1912054545 — BRENT ALLEN SPEAR DDS
Practice Location Address:

4730 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-0388
Practice Fax:

1609914258 — DR. JAMES B HAMMAN D.D.S.
Practice Location Address:

4730 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-0388
Practice Fax: 817-237-0397

1770623449 — DR. GARY W SANDERS D.C., F.A.S.A
Practice Location Address:

4712 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-2930
Practice Fax: 817-237-4143

1336441625 — SANDERS CHIROPRACTIC
Practice Location Address:

4712 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-2930
Practice Fax: 817-237-4143

Directions to “ KENNETH CHANCE BUCKNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.