Individual
KEVIN LEE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5038 PETERS CREEK PKWY STE 150, WINSTON SALEM, NC 27127-7172
(336) 277-2710
(336) 277-2719
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20010-0125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110220911
RR MEDICARE
NC
05
—
1710908546
—
NC
05
—
89128JX
—
NC
Enumeration date
07/21/2006
Last updated
02/13/2024
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