Healthcare Provider Details

I. General information

NPI: 1447196753
Provider Name (Legal Business Name): REBEKAH BURKHARDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

27 THOMPSON AVE
FORT MITCHELL KY
41017-2708
US

V. Phone/Fax

Practice location:
  • Phone: 513-803-7971
  • Fax:
Mailing address:
  • Phone: 859-391-5448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.364888
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: