Blake R Burchett

NPI 1083902837 - Family Medicine - 207Q00000X

NPI Details
NPI 1083902837
Enumeration Date 07/14/2011
Last Updated 07/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BLAKE R BLAKE
Position OWNER
Phone (606) 886-8466
Fax (606) 886-0250
Practice Location
535 N LAKE DR
PRESTONSBURG KY, 41653-1278, US
Phone (606) 886-8466
Fax (606) 886-0250
Business Location
535 N LAKE DR
PRESTONSBURG KY, 41653-1278, US
Phone (606) 886-8466
Fax (606) 886-0250
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1083902837 NPI Number
 

According to our database, Blake R Burchett NPI is 1083902837, taxonomy code is 207Q00000X Blake R Burchett physically located at 535 N Lake Dr, Prestonsburg KY, 41653-1278. NPI Number 1033115704 has the healthcare provider type.

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1083902837 NPI number is provided on an as is basis without warranty of any kind. 1083902837 is maintained by the National Plan & Provider Enumeration System. The contents of Blake R Burchett are for informational purposes only.