Burk, Kelly M

Burk, Kelly M is an individual health care provider with primary practice located at 13916 Baltimore Ave , Laurel MD 20707-5009. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Burk, Kelly M can be contacted via phone (301) 498-6511.

Contact Information

Primary practice address
13916 Baltimore Ave Laurel MD 20707-5009
Fax: (301) 776-0050
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11574 Maryland

Profile Details

NPI number 1407905417
LBN Legal business name Burk, Kelly M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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