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NPI Code Detail

MEDICARE: KEENA BURKETT

MEDICARE:   KEENA  BURKETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SH0200XHome Health Clinical Nurse Specialist310177TX

General Provider Information

NPI Number : 1497236434
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEENA BURKETT
Provider Business Mailing Address
First Line : 1255 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7299
Country : US
Telephone Number : 866-889-3500
Fax Number :
Provider Business Practice Location Address
First Line : 1255 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7299
Country : US
Telephone Number : 866-889-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ KEENA BURKETT ” Practice Location

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