Individual
KERSEE BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
Mailing address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
(601) 910-7071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6463
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6463
MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY
MS
Enumeration date
05/14/2019
Last updated
05/14/2019
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