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Buc Independence LLC

Urgent Care Clinic/Center in Independence, KY · enumerated 2015 · authorized official Robert So, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417330150

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Registry record

Entity type Organization (Type 2)
Legal business name Buc Independence LLC
Practice address 2025 Declaration Dr, Independence, KY, 41051
Fax (859) 371-0489
Enumeration date Jun 30, 2015
Last updated in NPPES Oct 4, 2024

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Primary
291U00000X Clinical Medical Laboratory Laboratories Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robert So
Title Owner

Other identifiers

Identifier Type State Issuer
2274177 Medicaid OH -
7100180440 Medicaid KY -
0152735 Medicaid OH -
7100204520 Medicaid KY -
7100351060 Medicaid KY -
7100408220 Medicaid KY -
0111587 Medicaid OH -
7100399770 Medicaid KY -
64076169 Medicaid KY -
7100423920 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Buc Independence LLC?
The NPI for Buc Independence LLC is 1417330150, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Buc Independence LLC?
NPPES lists Robert So (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-04.