Burgess, Kelly R

Burgess, Kelly R is an sole proprietor health care provider with primary practice located at 202 Bevins Lane , Georgetown KY 40324-9330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burgess, Kelly R can be contacted via phone (859) 323-9333.

Contact Information

Primary practice address
202 Bevins Lane Georgetown KY 40324-9330
Phone: (859) 323-9333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35653 Kentucky

Profile Details

NPI number 1265454409
LBN Legal business name Burgess, Kelly R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jun 21st, 2016 - about 9 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 1265454409 NPPES
Kentucky Other G63969 UPIN
Kentucky Other 000000368877 UPIN

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