Individual
MR. RICHARD S. BURGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 202, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7509
Mailing address
1301 PLEASANT VALLEY RD, SUITE 202, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500351300
—
KY
Enumeration date
08/19/2006
Last updated
03/26/2015
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