Individual
MR. KEVIN M. BURNS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7402 E RIVERSIDE BLVD, LOVES PARK, IL 61111-5630
(815) 226-9642
(815) 226-9672
Mailing address
7402 E RIVERSIDE BLVD, LOVES PARK, IL 61111-5630
(815) 226-9642
(815) 226-9672
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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