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Individual
DEREK EVAN BURKHART
Active
Individual
DEREK EVAN BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
3018279
KY
363L00000X
Nurse Practitioner
Primary
3018279
KY
363LF0000X
Family Nurse Practitioner
3018279
KY
Other
Enumeration date
08/31/2022
Last updated
09/28/2022
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