Individual
KELLY L. BURGHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7335 YANKEE RD STE 201, LIBERTY TOWNSHIP, OH 45044-1253
(513) 564-6818
(513) 564-6819
Mailing address
7335 YANKEE RD STE 201, LIBERTY TOWNSHIP, OH 45044-1253
(513) 564-6818
(513) 564-6819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.082204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059727
—
OH
Enumeration date
01/20/2006
Last updated
10/29/2020
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