Individual
DR. SUSAN M BURRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 GREENBRIAR DR STE B, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3568
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 465-3561
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23987
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049246
ANTHEM
KY
01
—
00533125
KY MEDICARE / NWS
KY
05
—
200941170
—
IN
05
—
64239874
—
KY
Enumeration date
09/26/2006
Last updated
11/15/2023
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