Individual
CHARLES JEFFREY BURGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3464
(859) 578-3400
(859) 957-0055
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-3400
(859) 957-0055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36645
KY
208000000X
Pediatrics Physician
36645
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110223258
RAILROAD MEDICARE
KY
05
—
2275309
—
OH
05
—
64042849
—
KY
01
—
P00812086
RAILROAD MEDICARE
—
Enumeration date
05/31/2006
Last updated
04/12/2024
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