Individual
DEL A BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 341-0288
(859) 341-7482
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-0288
(859) 341-7482
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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