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Individual

KAREN RENE BURCHETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4328 13TH ST, ASHLAND, KY 41102-5432
(606) 327-1160
(606) 327-1163
Mailing address
4328 13TH ST, ASHLAND, KY 41102-5432
(606) 327-1160
(606) 327-1163

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3008M
KY
367A00000X
Advanced Practice Midwife
Primary
3008M
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000511165
ANTHEM BCBS
KY
01
000000583791
ANTHEM BCBS
KY
05
2727222
OH
05
78006897
KY
Enumeration date
09/27/2006
Last updated
10/24/2013
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