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Individual

DR. JOHNNY KENNETH BURKHALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
22463
TX
103TS0200X
School Psychologist
Primary
6094
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00GK54
BCBS
TX
Enumeration date
10/05/2006
Last updated
09/11/2025
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