Kelly Burgess M.D.

LBN: Kelly Burgess M.D.
Kelly Burgess M.D. is an health care organization with primary practice located at 1140 Lexington Rd Suite 200, Georgetown KY 40324-9330. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Kelly Burgess M.D. can be contacted via phone (502) 863-5150, or through Burgess, Kelly R via phone (502) 863-5150.

Contact Information

Primary practice address
1140 Lexington Rd Suite 200 Georgetown KY 40324-9330
Phone: (502) 863-5150
Fax: (502) 863-4487
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Kelly R Doctor of Medicine (MD)
Phone: (502) 863-5150

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1568629418
LBN Legal business name Kelly Burgess M.D.
DBA Doing business as
Authorized official Burgess, Kelly R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated Jun 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568629418 NPPES
Kentucky Other 000000368877 BCBS
Kentucky MEDICAID 64017783 BCBS
Kentucky Other G63969 BCBS

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