Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Neilly Ann Buckalew, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1811214786

Dr. Neilly Ann Buckalew, MD is a Physical Medicine & Rehabilitation Physician in Coeur D Alene, Idaho. Works from 4 locations. Licensed in Minnesota, North Dakota and Pennsylvania.

Licensed in
MN, ND, PA
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3330 N Grand Mill Ln
Coeur D Alene, ID 83814-5689
Phone: (208) 777-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 4671 38th St S, Fargo, ND 58104-7866 — (877) 749-7428
  • 55 Monument Rd, York, PA 17403-5023 — (717) 812-2212

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 15303 (ND)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD455877 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 54367 (MN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 105626 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT197074 (PA)

Record details

NPI number1811214786
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2010
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

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