Healthcare Provider Details

I. General information

NPI: 1346168663
Provider Name (Legal Business Name): KRISTI L BUCKEL NCC, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 BAYOU PINES EAST DR STE C
LAKE CHARLES LA
70601-7196
US

IV. Provider business mailing address

1000 CHINABERRY DR STE 900
BOSSIER CITY LA
71111-2455
US

V. Phone/Fax

Practice location:
  • Phone: 337-433-3292
  • Fax: 337-433-3293
Mailing address:
  • Phone: 318-675-0804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPLC11350
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: