Doctor Name: | DR. THOMAS KINSMAN BURKHARD |
NPI Number: | 1013094614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G41170 |
Business Practice Address: | 100 Brewster Blvd Naval Hospital Camp Lejeune, NC - 285472538 |
Business Phone Number: | 9104504136 |
Business Fax Number: | 9104504558 |
Mailing Address: | 100 Brewster Blvd, Naval Hospital CAMP LEJEUNE |
State: | NC |
Postal Code: | 285472538 |
Phone Number: | 9104504136 |
Fax Number: | 9104504558 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | G41170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |