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Nicholas Tate Burris
Student in an Organized Health Care Education/Training Program in Madisonville, Kentucky
NPI 1417651969

Nicholas Tate Burris is a Student in an Organized Health Care Education/Training Program based in Madisonville, KY. Nicholas Tate Burris practices in Madisonville, KY. The NPI Number for Nicholas Tate Burris is 1417651969 and holds a License No. (Kentucky).

The current practice location address for Nicholas Tate Burris is 900 Hospital Dr, Madisonville, KY and can be reached out via phone at 270-825-5100. You can also correspond with Nicholas Tate Burris through the mailing address at 380 COUNTRY CLUB LN APT F, MADISONVILLE, KY - 42431-3836 (mailing address contact number: 270-619-1609).

Location: 900 Hospital Dr, Madisonville, KY, 42431-3836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417651969
Provider Name
Nicholas Tate Burris
Credential
Provider Entity Type
Individual
Gender
Male
Address
900 Hospital Dr, Madisonville, KY, 42431-3836
Phone Number
270-825-5100
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Hospital Dr
City
Madisonville
State
Kentucky
Zip
42431-1644
Phone Number
270-825-5100
Fax Number
person
Provider Business Mailing Address Details
Address
900 Hospital Dr
City
Madisonville
State
Kentucky
Zip
42431-1644
Phone Number
270-825-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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