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Individual

ELIZABETH SELF BURCKARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6420 DUTCHMANS PKWY STE 380, LOUISVILLE, KY 40205-3355
(502) 894-8441
(502) 894-4453
Mailing address
6420 DUTCHMANS PKWY, STE 380, LOUISVILLE, KY 40205-3355
(502) 894-9753
(502) 371-0929

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
53577
KY

Other

Enumeration date
03/26/2014
Last updated
05/19/2020
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