Kelly Douglas Burchett in Kirksville - Otolaryngology/facial Plastic Surgery
Kelly Douglas Burchett - NPI 1629161864
Kelly Douglas Burchett is a Otolaryngology/facial Plastic Surgery in Kirksville, Missouri. Kelly Douglas Burchett practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Kelly Douglas Burchett is 1629161864. The last update date is 2020-09-09.
Kelly Douglas Burchett's current location address is 1605 South Baltimore, Kirksville, Missouri. You can contact this provider via phone number 6606653599 and fax number 6606653570. The mailing address for Kelly Douglas Burchett is 1605 South Baltimore, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Douglas Burchett |
|---|---|
| Address | 1605 South Baltimore, Kirksville, Missouri |
| Phone Number | 6606653599 |
| Fax Number | 6606653570 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1629161864 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-09-09 |
Provider Mailing Address Detail
| Address | 1605 South Baltimore |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 63501 |
| Phone Number | 6606653599 |
| Fax Number | 6606653570 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 2001010344 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207392200 | MO | -- |
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What is the unique 10-digit identifier code issued to Kelly Douglas Burchett by the Centers for Medicare & Medicaid Services?
The Kelly Douglas Burchett has been assigned the NPI (National Provider Identifier) 1629161864 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kelly Douglas Burchett located?
The Kelly Douglas Burchett is located at 1605 South Baltimore, Kirksville, MO 63501.
What is the Kelly Douglas Burchett's area of specialization and corresponding taxonomy classification?
The Kelly Douglas Burchett's specialty field is Otolaryngology/facial Plastic Surgery, and it falls under the taxonomy code 207Yx0905X, which categorizes healthcare providers based on their specialties.
When was the Kelly Douglas Burchett's 1629161864 issued?
The Kelly Douglas Burchett's 1629161864 was issued on 2006-10-02.
As of what date were the Kelly Douglas Burchett's details last updated?
The information pertaining to the Kelly Douglas Burchett, including its address, specialty, and other details, was most recently updated on 2020-09-09.
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