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NPI Code Detail

MEDICARE: KIMBERLY A BUCKINGHAM PSYD

MEDICARE: KIMBERLY A BUCKINGHAM PSYD
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
1103TC0700XClinical Psychologist03433MD

General Provider Information

NPI Number : 1881872695
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A BUCKINGHAM PSYD
Provider Business Mailing Address
First Line : PO BOX 1433
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03802-1433
Country : US
Telephone Number : 802-857-0400
Fax Number :
Provider Business Practice Location Address
First Line : 10 W MARKET ST STE 2900
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-2964
Country : US
Telephone Number : 866-434-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 06/03/2026

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Directions to “ KIMBERLY A BUCKINGHAM PSYD” Practice Location

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