Burke, Keith Allen

Burke, Keith Allen is an individual health care provider with primary practice located at 1608 Main St , Conway SC 29526-3572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burke, Keith Allen can be contacted via phone (843) 248-4700.

Contact Information

Primary practice address
1608 Main St Conway SC 29526-3572
Phone: (843) 248-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 91294 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X S3642 Texas

Profile Details

NPI number 1407218134
LBN Legal business name Burke, Keith Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Jul 5th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407218134 NPPES
South Carolina MEDICAID 912944
South Carolina Other SCS3549443
South Carolina MEDICAID 39737373
South Carolina Other 884228
South Carolina Other 8LU873
South Carolina MEDICAID 405651701

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