Burkhart, Kenneth D

Burkhart, Kenneth D is an individual health care provider with primary practice located at 300 W Broadway Ste 6, Council Bluffs IA 51503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burkhart, Kenneth D can be contacted via phone (712) 325-1990.

Contact Information

Primary practice address
300 W Broadway Ste 6 Council Bluffs IA 51503
Phone: (712) 325-1990
Fax: (712) 325-0288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21722 Iowa

Profile Details

NPI number 1508856303
LBN Legal business name Burkhart, Kenneth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 9th, 2008 - about 16 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 1508856303 NPPES
Iowa MEDICAID 0188946
Iowa Other 161803
Iowa MEDICAID 2183632

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