MEDICARE: KATRINA BURKE

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
1	101YP2500X	Professional Counselor	273547	KY

General Provider Information

NPI Number	:	1497687503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA BURKE

Provider Business Mailing Address
First Line	:	3370 SNAFFLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1023
Country	:	US
Telephone Number	:	859-803-7857
Fax Number	:

Provider Business Practice Location Address
First Line	:	3370 SNAFFLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1023
Country	:	US
Telephone Number	:	859-803-7857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ KATRINA BURKE ” Practice Location

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