Individual
DR. KENT M. BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7820
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2002010569
MO
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2002010569
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148763001
—
MO
05
—
205852908
—
MO
01
—
99350
AR BLUE SHIELD #
MO
Enumeration date
02/12/2007
Last updated
11/19/2020
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