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Individual

DR. KENNETH M BURNHAM

Active
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Individual

DR. KENNETH M BURNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
23415
AL
207RC0000X
Cardiovascular Disease Physician
00023415
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000096629
AL
05
0122395
MS
01
510-96629
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/07/2006
Last updated
07/21/2022
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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