Individual
KENNETH DEAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 E MILULI AVENUE, BAINBRIDGE, GA 39819
(229) 243-0152
(229) 246-1683
Mailing address
1501 E MILULI AVENUE, BAINBRIDGE, GA 39819
(229) 243-0152
(229) 246-1683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
023914
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00270707B
—
GA
Enumeration date
07/26/2006
Last updated
07/08/2007
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