Burke, Kevin
Burke, Kevin is an individual health care provider with primary practice located at 8865 W 400 N Ste 155 , Michigan City IN 46360-9010. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Burke, Kevin can be contacted via phone (219) 872-6566.Contact Information
Primary practice address
8865 W 400 N Ste 155
Michigan City IN 46360-9010
Phone: (219) 872-6566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005423A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 02005423A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 02005423A | Indiana |
Profile Details
| NPI number | 1477930204 |
|---|---|
| LBN Legal business name | Burke, Kevin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Apr 14th, 2023 - about 3 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 | 1477930204 | NPPES |
| Indiana | MEDICAID | 300017636 |
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