Individual
MR. BRADLEY J BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2412 RING RD STE 200, ELIZABETHTOWN, KY 42701-5913
(270) 765-5926
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2121
KY
363A00000X
Physician Assistant
TC497
KY
Other
Enumeration date
08/09/2016
Last updated
12/09/2020
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