Burress, Kent Reynolds
Burress, Kent Reynolds is an sole proprietor health care provider with primary practice located at 1819 Washington Ave , Evansville IN 47714. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Burress, Kent Reynolds can be contacted via phone (812) 457-7020.Contact Information
Primary practice address
1819 Washington Ave
Evansville IN 47714
Phone: (812) 457-7020
Fax: (812) 477-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0700515 | Indiana |
Profile Details
| NPI number | 1861474058 |
|---|---|
| LBN Legal business name | Burress, Kent Reynolds |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Feb 7th, 2008 - about 18 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 | 1861474058 | NPPES |
| Indiana | MEDICAID | 100246800A |
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