Burt, Kevin

Burt, Kevin is an individual health care provider with primary practice located at 2724 Nashville Rd , Bowling Green KY 42101-4000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Burt, Kevin can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
2724 Nashville Rd Bowling Green KY 42101-4000
Phone: (270) 781-5111
Fax: (270) 936-6026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1578DT Kentucky

Profile Details

NPI number 1295899318
LBN Legal business name Burt, Kevin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Oct 5th, 2016 - about 10 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 1295899318 NPPES
Kentucky MEDICAID 77000958

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