Individual
NICOLAS P. BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 BOB O LINK DR STE 120, LEXINGTON, KY 40504-3760
(859) 277-3737
(859) 277-3765
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
50822
KY
2085R0001X
Radiation Oncology Physician
R3732
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100469110
—
KY
Enumeration date
04/01/2015
Last updated
06/03/2024
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