Individual
SUSANNA R BURKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVENUE, EVANSVILLE, IN 47750-0001
(812) 485-4000
Mailing address
P O BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-8544
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01066004A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200978080
—
IN
05
—
7100111320
—
KY
Enumeration date
09/08/2005
Last updated
09/30/2011
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