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Kelly Burgess M.d.
Primary Care Clinic/Center in Georgetown, Kentucky
NPI 1568629418

Kelly Burgess M.d. is a Primary Care Clinic/Center based in Georgetown, KY and is specialized in Primary Care. Kelly Burgess M.d. practices in Georgetown, KY. The NPI Number for Kelly Burgess M.d. is 1568629418 and holds a License No. (Kentucky).

The current practice location address for Kelly Burgess M.d. is 1140 Lexington Rd, Georgetown, KY and can be reached out via phone at 502-863-5150 and via fax at 502-863-4487.

Location: 1140 Lexington Rd, Georgetown, KY, 40324-9330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568629418
Provider Name
Kelly Burgess M.d.
Credential
Provider Entity Type
Organization
Address
1140 Lexington Rd, Georgetown, KY, 40324-9330
Phone Number
502-863-5150
Fax Number
502-863-4487
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000368877 01 KY BCBS
64017783 05 KY
G63969 01 KY UPIN
institution
Provider Business Practice Location Address Details
Address
1140 Lexington Rd
City
Georgetown
State
Kentucky
Zip
40324-9330
Phone Number
502-863-5150
Fax Number
502-863-4487
person
Provider Business Mailing Address Details
Address
1140 Lexington Rd
City
Georgetown
State
Kentucky
Zip
40324-9330
Phone Number
502-863-5150
Fax Number
502-863-4487
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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