Provider Demographics
NPI:1942473913
Name:BUCHER, KRISTIE R (PA)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:R
Last Name:BUCHER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KRISTIE
Other - Middle Name:R
Other - Last Name:ROBINSON-COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:820 SPRINGER DR
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6413
Mailing Address - Country:US
Mailing Address - Phone:815-744-8554
Mailing Address - Fax:
Practice Address - Street 1:515 STONECREST PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6829
Practice Address - Country:US
Practice Address - Phone:615-459-7334
Practice Address - Fax:615-459-3938
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN478363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant