Individual
KEVIN BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 RIDENOUR BLVD NW, KENNESAW, GA 30152-4463
(770) 580-8070
Mailing address
1765 APPLE BLVD, MARIETTA, GA 30066-2956
(678) 392-6698
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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