Individual
DEL A BURCHELL
Active
Individual
DEL A BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20063
KY
207R00000X
Internal Medicine Physician
Primary
20063
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044592
ANTHEM
—
01
—
021036000
FEDERAL BLACK LUNG
—
01
—
0420677
UNITED HEALTHCARE
—
05
—
0563466
—
OH
01
—
50006693
PASSPORT
—
01
—
637091
AETNA
—
05
—
64200637
—
KY
01
—
P00922863
RAIL ROAD MEDICARE
KY
Enumeration date
08/03/2005
Last updated
04/12/2024
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