# KAREN RENE BURCHETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073604096
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 3008M | KY | — |
| 367A00000X | Advanced Practice Midwife | 3008M | KY | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 10/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000511165 | ANTHEM BCBS | KY |
| 01 | — | 000000583791 | ANTHEM BCBS | KY |
| 05 | — | 2727222 | — | OH |
| 05 | — | 78006897 | — | KY |