Individual
DAK R BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 N CHURCH RD, LIBERTY, MO 64068-7129
(816) 781-1696
(913) 945-9611
Mailing address
5501 NW 62ND TER, SUITE 201, KANSAS CITY, MO 64151-2408
(816) 584-8884
(913) 945-9612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-19205
KS
207RC0000X
Cardiovascular Disease Physician
Primary
R2F31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051557
BCBS KS
KS
05
—
100172590A
—
KS
05
—
100172590B
—
KS
01
—
11691012
BCBS KC
—
05
—
202186110
—
MO
Enumeration date
07/24/2006
Last updated
09/15/2015
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