Basic Information
Provider Information
NPI: 1750606950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUFFIN
FirstName: JANET
MiddleName: KAY
NamePrefix:  
NameSuffix:  
Credential: BSN, RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1101 VETERANS DR
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405022235
CountryCode: US
TelephoneNumber: 8592334511
FaxNumber: 8592813933
Practice Location
Address1: 1101 VETERANS DR
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405022235
CountryCode: US
TelephoneNumber: 8592334511
FaxNumber: 8592813933
Other Information
ProviderEnumerationDate: 03/30/2010
LastUpdateDate: 03/30/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X1043699KYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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