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Individual

ELLEN BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
305 S 8TH ST, MURRAY, KY 42071-2404
(270) 753-9300
(270) 753-2413
Mailing address
305 S 8TH ST, MURRAY, KY 42071-2404
(270) 753-9300
(270) 753-2413

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36875
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64039985
KY
Enumeration date
05/24/2005
Last updated
03/19/2012
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