MCKENZIE BOND BUCKEL APRN NPI 1356114417

NPI Information

  • NPI: 1356114417
  • Provider Name: MCKENZIE BOND BUCKEL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2215 PORTLAND AVE
    LOUISVILLE, KY
    ZIP 40212
  • Phone: (502) 774-8631

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NPI Details

Mckenzie Bond Buckel, APRN is a family nurse practitioner in Louisville, KY with 12 years of experience. Mckenzie Bond Buckel, APRN NPI is 1356114417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212-033
Phone: (502) 774-8631

The NPI 1356114417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2023 and was last updated on 11/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4008582KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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