Organization
KELLY BURGESS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R BURGESS M.D. (DOCTOR)
(502) 863-5150
Entity
Organization
Contact information
Practice address
1140 LEXINGTON RD, SUITE 200, GEORGETOWN, KY 40324-9330
(502) 863-5150
(502) 863-4487
Mailing address
1140 LEXINGTON RD, SUITE 200, GEORGETOWN, KY 40324-9330
(502) 863-5150
(502) 863-4487
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368877
BCBS
KY
05
—
64017783
—
KY
01
—
G63969
UPIN
KY
Enumeration date
05/19/2008
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us