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Organization
KELLY D. BURCHETT DO LLC
Active
Organization
KELLY D. BURCHETT DO LLC
Active
Other names
Advanced Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DOUGLAS BURCHETT D.O. (PHYSICIAN)
(660) 665-3599
Entity
Organization
Contact information
Practice address
1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
(660) 665-3599
(660) 665-3570
Mailing address
1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
(660) 665-3599
(660) 665-3599
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2001010344
MO
Other
Enumeration date
10/12/2007
Last updated
10/14/2011
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