Burnett, Kelley
Burnett, Kelley is an individual health care provider with primary practice located at 700 Ramsey Ave , Grants Pass OR 97527-5792. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burnett, Kelley can be contacted via phone (541) 955-5683.Contact Information
Primary practice address
700 Ramsey Ave
Grants Pass OR 97527-5792
Phone: (541) 955-5683
Fax: (541) 955-0983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DO19729 | Oregon |
Profile Details
| NPI number | 1487638235 |
|---|---|
| LBN Legal business name | Burnett, Kelley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Aug 6th, 2012 - about 13 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 | 1487638235 | NPPES |
| Oregon | MEDICAID | 299499 |
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