MEDICARE: KRYSTLE BUFORD

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	247200000X	Other Technician		MI

General Provider Information

NPI Number	:	1124401310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTLE BUFORD

Provider Business Mailing Address
First Line	:	1935 CHENE CT APT 702
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-3858
Country	:	US
Telephone Number	:	313-576-6973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 CHENE CT APT 702
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207-3858
Country	:	US
Telephone Number	:	313-576-6973
Fax Number	:

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

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	07/07/2015

Similar Medicare Providers

1629924998 — ALAA JOMAA
Practice Location Address:

6309 MACK AVE
DETROIT, MI
48207-2302

Practice Phone: 313-921-4700
Practice Fax:

1740135979 — VINCENT GERMAIN STEYAERT
Practice Location Address:

2925 RUSSELL ST
DETROIT, MI
48207-4825

Practice Phone: 734-725-9708
Practice Fax:

1417720780 — BRIANNA REYES RSST
Practice Location Address:

2925 RUSSELL ST
DETROIT, MI
48207-4825

Practice Phone: 313-396-5300
Practice Fax:

1922953397 — MARCUS J FLORES
Practice Location Address:

2925 RUSSELL ST
DETROIT, MI
48207-4825

Practice Phone: 888-813-8326
Practice Fax:

1134121353 — HAMILTON NURSING HOME INC.
Practice Location Address:

590 E GRAND BLVD
DETROIT, MI
48207-3534

Practice Phone: 313-921-1580
Practice Fax: 313-921-1405

1952308470 — ALPHA MANAGEMENT, INC.
Practice Location Address:

440 E GRAND BLVD
DETROIT, MI
48207-3637

Practice Phone: 313-579-2900
Practice Fax:

Directions to “ KRYSTLE BUFORD ” 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.