Kenneth D. Burgess, M. D.
LBN: Gaston Family Medicine, P. A.
Kenneth D. Burgess, M. D. is an health care organization with primary practice located at 3845 South New Hope Road , Gastonia NC 28056-8439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Gaston Family Medicine, P. A. can be contacted via phone (704) 824-9119, or through Burgess, Kenneth David via phone (704) 824-9119.
Contact Information
Primary practice address
3845 South New Hope Road
Gastonia NC 28056-8439
Phone: (704) 824-9119
Fax: (704) 824-2401
Website:
Authorized official contact:
Name: Burgess, Kenneth David Doctor of Medicine (MD)
Phone: (704) 824-9119
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32655 | North Carolina |
Profile Details
| NPI number | 1992974042 |
|---|---|
| LBN Legal business name | Gaston Family Medicine, P. A. |
| DBA Doing business as | Kenneth D. Burgess, M. D. |
| Authorized official | Burgess, Kenneth David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2008 |
| Last updated | Jul 14th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992974042 | NPPES |
| North Carolina | MEDICAID | 8919982 | |
| North Carolina | Other | 19982 | |
| North Carolina | Other | P00297412 |
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