Individual
KELLY A BURDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 ENDICOTT ST, SUITE 104, DANVERS, MA 01923-3623
(978) 882-6700
(978) 646-8553
Mailing address
104 ENDICOTT ST, SUITE 104, DANVERS, MA 01923-3623
(978) 882-6700
(978) 646-8553
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
238168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594705
—
IA
05
—
12903
—
ND
01
—
2364662
ARAZ/ AMERICA'S PPO
SD
01
—
247072
MIDLANDS CHOICE
SD
01
—
3100277
MEDICA
SD
01
—
341G8BU
BLUE CROSS
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
406751043656
PREFERRED ONE
SD
01
—
45364
SANFORD HEALTH PLAN
SD
05
—
46022474344
—
NE
01
—
4994483
BLUE CROSS
SD
01
—
5561
DAKOTACARE
SD
01
—
57105P008
WPS TRICARE
SD
05
—
6631200
—
SD
05
—
934628700
—
MN
01
—
HP52482
HEALTHPARTNERS
SD
01
—
P00368122
RR MEDICARE
SD
Enumeration date
02/23/2006
Last updated
02/29/2012
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