Individual
CULLEN WILLIAM BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 6000, BATON ROUGE, LA 70808-4300
(225) 765-8648
(225) 765-7754
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0006
(225) 765-9291
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
300785
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199269
—
LA
01
—
300785
STATE LICENSE
LA
Enumeration date
04/08/2012
Last updated
02/09/2022
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