Organization Name: | BURKE ORTHOPAEDICS, PSC |
NPI Number: | 1003057241 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK BURKE (OWNER) |
Mailing Address: | 1 Saint Joseph Dr Lexington |
State: | KY US |
Postal Code: | 405043742 |
Phone Number: | 8593134855 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 26486 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |