Burke, Kevin R

Burke, Kevin R is an individual health care provider with primary practice located at 3118 E 10Th St Suite A, Jeffersonville IN 47130-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burke, Kevin R can be contacted via phone (812) 282-6979.

Contact Information

Primary practice address
3118 E 10Th St Suite A Jeffersonville IN 47130-5904
Fax: (812) 282-6998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01032568A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21559 Kentucky

Profile Details

NPI number 1396700316
LBN Legal business name Burke, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 29th, 2014 - about 10 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 1396700316 NPPES
Other 50006205 PASSPORT / NCMA
Other 00000050935 PASSPORT / NCMA
Other 004281 PASSPORT / NCMA
Other 7588644001 PASSPORT / NCMA
Other 110138281 PASSPORT / NCMA
Other 000023034A PASSPORT / NCMA
Other 2447473000 PASSPORT / NCMA
MEDICAID 100075530 PASSPORT / NCMA
Other 1193932 PASSPORT / NCMA
MEDICAID 64215593 PASSPORT / NCMA

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