Kenneth R. Burg is a Psychiatry in Waupun, Wisconsin. Kenneth R. Burg practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth R. Burg is 1558311613. The last update date is 2012-11-16.
Kenneth R. Burg's current location address is 1 W Lincoln St, Waupun, Wisconsin. You can contact this provider via phone number 9203245577 and fax number 9203246288. The mailing address for Kenneth R. Burg is 1 W Lincoln St, Waupun, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R. Burg |
|---|---|
| Address | 1 W Lincoln St, Waupun, Wisconsin |
| Phone Number | 9203245577 |
| Fax Number | 9203246288 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558311613 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2012-11-16 |
Provider Mailing Address Detail
| Address | 1 W Lincoln St |
|---|---|
| City | Waupun |
| State | Wisconsin (WI) |
| Post Code | 539631949 |
| Phone Number | 9203245577 |
| Fax Number | 9203246288 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 47945 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code issued to Kenneth R. Burg by the Centers for Medicare & Medicaid Services?
The Kenneth R. Burg has been assigned the NPI (National Provider Identifier) 1558311613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kenneth R. Burg's physical address?
The Kenneth R. Burg is physically located at 1 W Lincoln St, in the city of Waupun, WI, with the postal code 539631949.
What is Kenneth R. Burg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth R. Burg is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did Kenneth R. Burg receive its 1558311613 assignment?
The Kenneth R. Burg was assigned its 1558311613 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth R. Burg most recently updated?
The details pertaining to the Kenneth R. Burg, including its address, specialty, and other relevant information, were last refreshed on 2012-11-16.
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