Individual
KEVIN LYN BURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4175
Mailing address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-2416
(270) 793-2027
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37672
STATE LICENSE #
KY
05
—
4048023
—
TN
05
—
64060155
—
KY
Enumeration date
10/18/2005
Last updated
03/07/2023
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