Provider Demographics
NPI:1407622517
Name:BUCHINSKI, KATELYN (RN)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:BUCHINSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 MEEHAN ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18519-1447
Mailing Address - Country:US
Mailing Address - Phone:570-903-3945
Mailing Address - Fax:
Practice Address - Street 1:819 MEEHAN ST
Practice Address - Street 2:
Practice Address - City:DICKSON CITY
Practice Address - State:PA
Practice Address - Zip Code:18519-1447
Practice Address - Country:US
Practice Address - Phone:570-903-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN697952163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory