Individual
MRS. JANELL KAYDEE BURKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MATRG, ATC, NREMT
Contact information
Practice address
651 TAYLOR DR, XENIA, OH 45385-7246
(937) 352-1000
Mailing address
651 TAYLOR DR, XENIA, OH 45385-7246
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
145677
ND
2255A2300X
Athletic Trainer
Primary
856-19
ND
390200000X
Student in an Organized Health Care Education/Training Program
0990709
ND
Other
Enumeration date
10/28/2018
Last updated
10/26/2020
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