Healthcare Provider Details

I. General information

NPI: 1073604096
Provider Name (Legal Business Name): KAREN RENE BURCHETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WOMEN FIRST, PLLC

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4328 13TH ST
ASHLAND KY
41102-5432
US

IV. Provider business mailing address

4328 13TH ST
ASHLAND KY
41102-5432
US

V. Phone/Fax

Practice location:
  • Phone: 606-327-1160
  • Fax: 606-327-1163
Mailing address:
  • Phone: 606-327-1160
  • Fax: 606-327-1163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number3008M
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number3008M
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: