Individual
KEVIN E BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8260
(317) 806-8296
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 572-2131
(317) 806-8296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01037497
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100332600
—
IN
05
—
2317237
—
OH
01
—
822400046
MEDICARE PTAN
IN
Enumeration date
07/13/2006
Last updated
12/24/2020
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