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NPI Code Detail

MEDICARE: KEVIN P BUR D.O.

MEDICARE: KEVIN P BUR D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician5101011005MI

General Provider Information

NPI Number : 1700819810
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN P BUR D.O.
Provider Business Mailing Address
First Line : PO BOX 115
Second Line :
City : SWARTZ CREEK
State : MI
Zip : 48473-0115
Country : US
Telephone Number : 810-635-7453
Fax Number : 810-630-2151
Provider Business Practice Location Address
First Line : 826 W KING ST
Second Line :
City : OWOSSO
State : MI
Zip : 48867-2120
Country : US
Telephone Number : 810-635-7453
Fax Number : 810-630-2151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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Directions to “ KEVIN P BUR D.O.” Practice Location

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