Organization
BURLINGTON PSYCHIATRY & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J HEADEN MD (PSYCHIATRY)
(336) 584-5255
Entity
Organization
Contact information
Practice address
1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
(336) 584-5255
(336) 584-5235
Mailing address
1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
(336) 584-5255
(336) 584-5235
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9400266
NC
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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