Burnette, Kreg

Burnette, Kreg is an individual health care provider with primary practice located at 1800 W Charleston Blvd , Las Vegas NV 89102-2386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Burnette, Kreg can be contacted via phone (702) 383-1958.

Contact Information

Primary practice address
1800 W Charleston Blvd Las Vegas NV 89102-2386
Phone: (702) 383-1958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35085188 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 12674 Nevada

Profile Details

NPI number 1386701621
LBN Legal business name Burnette, Kreg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 29th, 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 1386701621 NPPES
Ohio Other 000000221191 UNISON
Ohio Other 7167702 UNISON
Ohio Other 731269 UNISON
Ohio Other 1021120630001 UNISON
Ohio Other 000000527951 UNISON
Ohio MEDICAID 2544063 UNISON
Ohio Other 414954 UNISON

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