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General NPI Number Information
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NPI Number | 1962768580
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Entity Type | Individual
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Provider Name | KENNETH MICHAEL BURNS M.D
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3801 W MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27407-1301
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Country | US
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Telephone | 336-883-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 645 N MAIN ST
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City | HIGH POINT
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State | NC
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Zip | 27260-5017
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Country | US
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Telephone | 336-883-0029
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2018-02203
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2018-02203
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License Number State | NC
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