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General NPI Number Information
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NPI Number | 1528034865
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Entity Type | Individual
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Provider Name | KATHLEEN MICHELLE BURNLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 5620 BROOK RD
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City | RICHMOND
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State | VA
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Zip | 23227-2273
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Country | US
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Telephone | 804-767-8400
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Fax | 804-262-5113
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Provider Business Mailing Address
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Address Line | 5620 BROOK RD
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City | RICHMOND
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State | VA
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Zip | 23227-2273
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Country | US
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Telephone | 804-767-8400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 52860
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 63817
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 312663
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME141661
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 83392
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101247204
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License Number State | VA
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