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Individual
KEVIN A BURKE
Active
Individual
KEVIN A BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19260
MD
225100000X
Physical Therapist
Primary
PT018723
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019792400001
—
PA
01
—
20066232
AMERIHEALTH MERCY
PA
01
—
2857166
AM65/PERSONAL CHOICE
PA
01
—
50071494
CAPITAL BLUE CROSS
PA
01
—
68540608
CAREFIRST
MD
01
—
R7350008
GHMSI
MD
Enumeration date
08/11/2006
Last updated
11/14/2007
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