| Kelly Burgess M.d. | |
|
1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 | |
| (502) 863-5150 | |
| (502) 863-4487 |
| Full Name | Kelly Burgess M.d. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1140 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Kelly R Burgess (DOCTOR) |
| Authorized Official Contact | 5028635150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Burgess M.d. 1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 Ph: (502) 863-5150 | Kelly Burgess M.d. 1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 Ph: (502) 863-5150 |
| NPI Number | 1568629418 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568629418 | NPI | - | NPPES |
| 000000368877 | Other | KY | BCBS |
| 64017783 | Medicaid | KY | |
| G63969 | Other | KY | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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