OrganizationActive
Buckhorn Lake Area Support Team, Inc
NPI 1265610828 · Supports Brokerage Agency · Bonnyman, KY
Provider details
- NPI number
- 1265610828
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Authorized official
- Katrina Bowling, Owner/Business Manager
Practice location
5053 N Ky Highway 15
Bonnyman, KY 41719-8972
Phone: (606) 487-1050
Fax: (606) 487-1051
Mailing address
5053 N Ky Highway 15
Bonnyman, KY 41719-8972
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2008-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.