Individual
TIMOTHY JACOB BURCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
4527 HOLLY ST APT 101, KANSAS CITY, MO 64111-4550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023022059
MO
208000000X
Pediatrics Physician
94-11570
KS
Other
Enumeration date
04/27/2020
Last updated
06/12/2023
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