Individual
MR. KENNETH JAMES BURNSED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272427
GA
Other
Enumeration date
09/29/2020
Last updated
01/16/2024
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