Burnett, Dak R

Burnett, Dak R is an individual health care provider with primary practice located at 1530 N Church Rd , Liberty MO 64068-7129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Burnett, Dak R can be contacted via phone (816) 781-1696.

Contact Information

Primary practice address
1530 N Church Rd Liberty MO 64068-7129
Phone: (816) 781-1696
Fax: (913) 945-9611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R2F31 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-19205 Kansas

Profile Details

NPI number 1922020395
LBN Legal business name Burnett, Dak R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 15th, 2015 - about 11 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 1922020395 NPPES
Kansas MEDICAID 100172590B
Kansas Other 051557
Kansas MEDICAID 100172590A
Kansas Other 11691012
Kansas MEDICAID 202186110

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