Burton Lee Kennedy M.D.

NPI 1073793311 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1073793311
Gender Male
Enumeration Date 11/04/2007
Last Updated 05/05/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
400 SHADOWLINE DR
SUITE 202
BOONE NC, 28607-5089, US
Phone (828) 262-0600
Fax
Business Location
400 SHADOWLINE DR
SUITE 202
BOONE NC, 28607-5089, US
Phone (828) 262-0600
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State North Carolina
License Number 2009-00722
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According to our database, Burton Lee Kennedy M.D. NPI is 1073793311, taxonomy code is 2084N0400X and license number is 2009-00722, license state is located at North Carolina. Burton Lee Kennedy M.D. physically located at 400 Shadowline Dr, Boone NC, 28607-5089. NPI Number Burton Lee Kennedy M.D. has the Individual type.

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1073793311 NPI number is provided on an as is basis without warranty of any kind. 1073793311 is maintained by the National Plan & Provider Enumeration System. The contents of Burton Lee Kennedy M.D. are for informational purposes only.