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

Kristopher Buck

Individual provider Registered Nurse · NPI 1619374915

Kristopher Buck is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2014, 12 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
12
Licensed in
IN, KY
In the registry since
2014
Specialties on file
3

Practice location Address checks out

4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone: (502) 629-2880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3009158 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1124951 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 28212658A (IN)

Record details

NPI number1619374915
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 2, 2014
Last updated in NPPESMarch 30, 2015
Mailing address601 S Floyd St Ste 407, Louisville, KY 40202-1837

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Louisville