Individual
MISS LAURA WHITNEY BURCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2413
TN
363A00000X
Physician Assistant
Primary
PA1726
KY
Other
Enumeration date
06/25/2012
Last updated
03/06/2018
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