Kenneth David Burgess in Gastonia - Family Medicine

Kenneth David Burgess - NPI 1538147376

Kenneth David Burgess is a Family Medicine in Gastonia, North Carolina. Kenneth David Burgess practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth David Burgess is 1538147376. The last update date is 2008-07-14.

Kenneth David Burgess's current location address is Po Box 551178, Gastonia, North Carolina. You can contact this provider via phone number 7048249119 and fax number 7048242401. The mailing address for Kenneth David Burgess is Po Box 551178, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth David Burgess
Address Po Box 551178, Gastonia, North Carolina
Phone Number 7048249119
Fax Number 7048242401
Sole Proprietor Y
Credentials M. D.

NPI Number Detail

NPI Number 1538147376
Provider Enumeration Date 2006-01-03
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address Po Box 551178
City Gastonia
State North Carolina (NC)
Post Code 280551178
Phone Number 7048249119
Fax Number 7048242401

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 32655
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19982 NC BCBS
205144C NC MEDICARE PTAN#
P00297412 NC PALMETTO GBA
8919982 NC --

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FAQs about Kenneth David Burgess

What is the unique 10-digit identifier code assigned to Kenneth David Burgess by the Centers for Medicare & Medicaid Services?

The Kenneth David Burgess has been issued the NPI (National Provider Identifier) 1538147376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kenneth David Burgess is located?

The Kenneth David Burgess is situated at the following address: Po Box 551178, Gastonia, NC, 280551178.

What is the area of specialization for Kenneth David Burgess, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth David Burgess is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When did the Kenneth David Burgess receive its 1538147376?

The Kenneth David Burgess was issued its 1538147376 on 2006-01-03, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Kenneth David Burgess most recently updated or revised?

The information pertaining to Kenneth David Burgess, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-14.

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