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Individual
MS. VERNA JEAN BURNETTE
Active
Individual
MS. VERNA JEAN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA219
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183821
RURAL HEALTH
KY
01
—
31000664
MEDICAID GROUP
KY
01
—
6603
MEDICARE GROUP
KY
05
—
95000923
—
KY
Enumeration date
09/12/2006
Last updated
06/05/2009
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