Individual
KEITH ALAN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252704
KY
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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