Doctor Name: | KEVIN L BURKART |
NPI Number: | 1124218060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 357 |
Business Practice Address: | 1400 S Limit Ave Sedalia, MO - 653015118 |
Business Phone Number: | 6608265885 |
Business Fax Number: | |
Mailing Address: | 1400 S Limit Ave, SEDALIA |
State: | MO |
Postal Code: | 653015118 |
Phone Number: | 6608265885 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 357 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |