IndividualActive
Kenneth Buccino, MD
NPI 1366407934 · Emergency Medical Services (Emergency Medicine) Physician · Medford, OR
Provider details
- NPI number
- 1366407934
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- MD21074 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 E. Main Street, Suite C
Medford, OR 97501-6041
Phone: (541) 789-4728
Fax: (541) 789-4765
Approximate (ZIP-level) locationGet directions
Mailing address
100 E. Main Street, Suite C
Medford, OR 97501-6041
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.