Provider Demographics
NPI:1922146760
Name:BUECHLER, KURT A (MD)
Entity type:Individual
Prefix:
First Name:KURT
Middle Name:A
Last Name:BUECHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 HIGHLAND COLONY PARKWAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157
Mailing Address - Country:US
Mailing Address - Phone:601-853-2676
Mailing Address - Fax:601-853-9535
Practice Address - Street 1:625 HIGHLAND COLONY PARKWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157
Practice Address - Country:US
Practice Address - Phone:601-853-2676
Practice Address - Fax:601-853-9535
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN139842084P0800X
MS139842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry