Provider Demographics
NPI:1598567109
Name:BUCHER, KIMBERLY GRACE (PA-C)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:GRACE
Last Name:BUCHER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 N QUEEN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3027
Mailing Address - Country:US
Mailing Address - Phone:717-393-1900
Mailing Address - Fax:
Practice Address - Street 1:538 N QUEEN ST STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3027
Practice Address - Country:US
Practice Address - Phone:717-393-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA066368207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery