Burchett, Kelly Douglas

Burchett, Kelly Douglas is an sole proprietor health care provider with primary practice located at 1605 South Baltomore Suite B, Kirksville MO 63501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Burchett, Kelly Douglas can be contacted via phone (660) 665-3599.

Contact Information

Primary practice address
1605 South Baltomore Suite B Kirksville MO 63501
Phone: (660) 665-3599
Fax: (660) 665-3570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 2001010344 Missouri

Profile Details

NPI number 1629161864
LBN Legal business name Burchett, Kelly Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629161864 NPPES
Missouri MEDICAID 207392200

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