Kaitlin D Buckner (NPI# 1104852094, PAC ID# 3779535851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104852094 |
| PAC ID by PECOS | 3779535851 |
| Professional Enrollment ID | I20081229000573 |
| Full Name | Kaitlin D Buckner |
| Organization Legal Name | VALHALLA PLACE CLINIC PA |
| Address |
6043 Hudson Rd Suite 220 Woodbury MN 55125-1033 |
| Phone Number | 6519258200 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416259718 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 | 6519258200 | VALHALLA PLACE CLINIC PA |
| Organization Legal Name | VALHALLA PLACE CLINIC PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Ernest W Lampe Ii | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Carson R Harris | Emergency Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Woodbury, MN 55125-1033 |
| Street Address |
6043 HUDSON RD SUITE 220 |
| City | WOODBURY |
| State | MN |
| Zip | 55125-1033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Ernest W Lampe Ii | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Carson R Harris | Emergency Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Woodbury, MN 55125-1033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Laura Christine Gundale | Physician Assistant | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Mark Roger Buboltz | Optometry | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Krista Jean Stewart | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Douglas G Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Richard M Launer | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Paul M Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Rafael Borges | Optometry | Msp Eye Associates Inc | 7070 Tamarack Rd, Woodbury, MN 55125-1205 |
| Jennifer L Borges | Optometry | Msp Eye Associates Inc | 7070 Tamarack Rd, Woodbury, MN 55125-1205 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WOODBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kaitlin D Buckner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.