Individual
KENNETH S BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2320 KNOB CREEK RD STE 404, JOHNSON CITY, TN 37604-2581
(423) 661-7445
(423) 224-3709
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 952-2111
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198628
TN
163W00000X
Registered Nurse
41.564483
IL
363LF0000X
Family Nurse Practitioner
0024173331
VA
363LF0000X
Family Nurse Practitioner
2024004887
MO
363LF0000X
Family Nurse Practitioner
Primary
20898
TN
363LF0000X
Family Nurse Practitioner
209.030704
IL
363LF0000X
Family Nurse Practitioner
5017076
NC
363LF0000X
Family Nurse Practitioner
71014917A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.0035716
OH
Other
Enumeration date
01/14/2016
Last updated
02/19/2025
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