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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265454409 | NPPES |
| Kentucky | Other | G63969 | UPIN |
| Kentucky | Other | 000000368877 | UPIN |
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