Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kourtney Buckallew

Individual provider Counselor · NPI 1114569027

Kourtney Buckallew is a Counselor in Kirksville, Missouri. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1101 Jamison St
Kirksville, MO 63501-3943
Phone: (660) 665-1962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1114569027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2019
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

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