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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861713521

Ryan Buckley, DO is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lamont Street And Veterans Way
Johnson City, TN 37604
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 — (619) 532-6400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4928 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861713521
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 17, 2010
Last updated in NPPESMay 24, 2024
Certification dateMay 20, 2024
Mailing address123 Lake Harbor Dr, Johnson City, TN 37615-2972

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