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Individual
KATHLEEN KELLY BURAK
Active
Individual
KATHLEEN KELLY BURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
243594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02903693
—
NY
05
—
09029515
—
MI
05
—
1100099
—
LA
Enumeration date
05/01/2007
Last updated
02/29/2008
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