Individual
EDWARD BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
650 JOEL DRIVE, ATTN: MCXD-DCCS-CR, CREDENTIALS OFFICE, FORT CAMPBELL, KY 42223
(270) 798-8727
Mailing address
650 JOEL DRIVE, ATTN: MCXD-DCCS-CR, CREDENTIALS OFFICE, FORT CAMPBELL, KY 42223
(270) 798-8727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-54845
HI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-2314
HI
Other
Enumeration date
01/06/2014
Last updated
06/23/2025
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