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General NPI Number Information
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NPI Number | 1831230655
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Entity Type | Individual
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Provider Name | KENT M. BURK MD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 2101 CHARLOTTE ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2727
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Country | US
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Telephone | 816-404-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 2310 HOLMES ST STE 800
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City | KANSAS CITY
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State | MO
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Zip | 64108-2602
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Country | US
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Telephone | 816-404-8188
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 2002010569
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2002010569
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License Number State | MO
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