Burnham, Kenneth M

Burnham, Kenneth M is an individual health care provider with primary practice located at 3715 Dauphin St Ste 4400 , Mobile AL 36608-1727. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Burnham, Kenneth M can be contacted via phone (251) 607-9797.

Contact Information

Primary practice address
3715 Dauphin St Ste 4400 Mobile AL 36608-1727
Phone: (251) 607-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 00023415 Alabama
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 23415 Alabama

Profile Details

NPI number 1164462321
LBN Legal business name Burnham, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164462321 NPPES
Alabama Other 510-96629 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000096629 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 0122395 BLUE CROSS BLUE SHIELD

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