Individual
DR. EUGENE JAMES BURCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT., COVINGTON, KY 41011-0801
(859) 655-1100
(859) 655-1102
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-1100
(859) 655-1102
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190846
—
KY
Enumeration date
07/01/2005
Last updated
09/18/2018
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