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Organization

KELLY D. BURCHETT DO LLC

Active
Other names
Advanced Surgical Arts
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY DOUGLAS BURCHETT D.O. (PHYSICIAN)
(660) 665-3599
Entity
Organization

Contact information

Practice address
1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
(660) 665-3599
(660) 665-3570
Mailing address
1605 SOUTH BALTIMORE, SUITE B, KIRKSVILLE, MO 63501
(660) 665-3599
(660) 665-3599

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2001010344
MO

Other

Enumeration date
10/12/2007
Last updated
10/14/2011
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