Individual
DAVID MICHAEL BURANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8561
(859) 258-8565
Mailing address
700 BOB O LINK DR, LEXINGTON, KY 40504-3756
(859) 258-8561
(859) 258-8565
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID ASC GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64024045
—
KY
01
—
ASC1019
MEDICARE ASC GROUP
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
06/30/2006
Last updated
11/02/2007
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