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NPI Code Detail

MEDICARE: FRANK R BURNS MD

MEDICARE: FRANK R BURNS MD
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
1174400000XSpecialist25403KY
2207W00000XOphthalmology Physician25403KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00401038OTHERKYRAILROAD MEDICARE

General Provider Information

NPI Number : 1881703924
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK R BURNS MD
Provider Business Mailing Address
First Line : 13324 SHELBYVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3936
Country : US
Telephone Number : 502-245-0305
Fax Number : 502-499-0966
Provider Business Practice Location Address
First Line : 13324 SHELBYVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3936
Country : US
Telephone Number : 502-245-0305
Fax Number : 502-499-0966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/24/2021

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