Burdge, Kelly A
Burdge, Kelly A is an individual health care provider with primary practice located at 104 Endicott St Suite 104, Danvers MA 01923-3623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Burdge, Kelly A can be contacted via phone (978) 882-6700.Contact Information
Primary practice address
104 Endicott St Suite 104
Danvers MA 01923-3623
Phone: (978) 882-6700
Fax: (978) 646-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 238168 | Massachusetts |
Profile Details
| NPI number | 1992771687 |
|---|---|
| LBN Legal business name | Burdge, Kelly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992771687 | NPPES |
| South Dakota | Other | 247072 | MIDLANDS CHOICE |
| South Dakota | Other | 341G8BU | MIDLANDS CHOICE |
| South Dakota | Other | 4994483 | MIDLANDS CHOICE |
| South Dakota | Other | 3100277 | MIDLANDS CHOICE |
| South Dakota | Other | 2364662 | MIDLANDS CHOICE |
| South Dakota | Other | 341G8BU | MIDLANDS CHOICE |
| South Dakota | Other | 45364 | MIDLANDS CHOICE |
| South Dakota | Other | 57105P008 | MIDLANDS CHOICE |
| South Dakota | MEDICAID | 0594705 | MIDLANDS CHOICE |
| South Dakota | MEDICAID | 46022474344 | MIDLANDS CHOICE |
| South Dakota | Other | 5561 | MIDLANDS CHOICE |
| South Dakota | MEDICAID | 934628700 | MIDLANDS CHOICE |
| South Dakota | Other | P00368122 | MIDLANDS CHOICE |
| South Dakota | Other | 370624200 | MIDLANDS CHOICE |
| South Dakota | Other | 406751043656 | MIDLANDS CHOICE |
| South Dakota | Other | HP52482 | MIDLANDS CHOICE |
| South Dakota | MEDICAID | 12903 | MIDLANDS CHOICE |
| South Dakota | MEDICAID | 6631200 | MIDLANDS CHOICE |
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