Individual
DEMARCUS DEONTA BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
736 BURGESS AVE, LEXINGTON, KY 40511-1571
(859) 536-2146
Mailing address
236 SAN ANTONIO WAY, NICHOLASVILLE, KY 40356-3014
(859) 536-2146
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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