Individual
JOSHUA M BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(859) 562-1540
Mailing address
316 W 2ND ST, MOREHEAD, KY 40351-1550
(859) 562-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2387
KY
363A00000X
Physician Assistant
Primary
PA2387
KY
363A00000X
Physician Assistant
TC724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100557610
—
KY
Enumeration date
08/09/2018
Last updated
05/05/2021
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