Individual
KENNETH GREGORY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9229 WARD PKWY STE 260, KANSAS CITY, MO 64114-3333
(816) 289-2687
(913) 273-1561
Mailing address
4419 W 112TH TER, LEAWOOD, KS 66211-1718
(816) 289-2687
(913) 273-1561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022020355
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022020355
STATE OF MISSOURI
MO
Enumeration date
06/23/2022
Last updated
12/17/2024
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