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Contact Information

KAREN M BUCKLEY, MD
7901 S 12TH ST STE 100
PORTAGE, MI49024-3831
 Phone: 269-372-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KAREN M BUCKLEY · (Female)

NPI # 1225094659
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301505730
  • NC License # 2009-01735
  • NJ License # 25MA06639100
  • NY License # 2170261
  • NC Medicaid 5913510
  • NY Medicaid 02131235170
  • NC Other 155UH BCBSNC
Hospital affiliation(s)
  • BRONSON METHODIST HOSPITAL - (Acute Care)
    601 JOHN STREET 42
    KALAMAZOO, MI 49007
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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