# KELLY D. BURCHETT DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891983037
- **Authorized official:** KELLY DOUGLAS BURCHETT D.O. (PHYSICIAN)
- **Authorized official phone:** (660) 665-3599

## Contact information

- **Practice address:** 1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
- **Practice address phone:** (660) 665-3599
- **Practice address fax:** (660) 665-3570
- **Mailing address:** 1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
- **Mailing address phone:** (660) 665-3599
- **Mailing address fax:** (660) 665-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 2001010344 | MO | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 10/14/2011