Individual
DR. ANTONIO CARLOS BERNAUD BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Mailing address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35092187
OH
2085R0202X
Diagnostic Radiology Physician
ME 65635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2873798
—
OH
Enumeration date
07/09/2006
Last updated
08/29/2016
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