Individual
DR. KENNETH WILLIAM BURCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7903
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8117
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002748
—
VT
05
—
30003053
—
NH
Enumeration date
07/09/2006
Last updated
07/08/2007
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