Individual
DEREK EVAN BURKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0100
Mailing address
25 THOMAS TRCE, CADIZ, KY 42211-8404
(270) 350-7150
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
3018279
KY
363L00000X
Nurse Practitioner
Primary
3018279
KY
363LF0000X
Family Nurse Practitioner
3018279
KY
Other
Enumeration date
08/31/2022
Last updated
09/28/2022
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