Individual
MR. KEVIN DONNELL BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 SPENCERPORT RD APT 114, ROCHESTER, NY 14606-5251
(585) 500-8558
Mailing address
345 SPENCERPORT RD APT 114, ROCHESTER, NY 14606-5251
(585) 500-8558
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
332179935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NY
Enumeration date
04/14/2021
Last updated
04/14/2021
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