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1538147376
KENNETH DAVID BURGESS
GASTONIA, NC
NPI
1538147376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 32655)
Enumeration Date
2006-01-03
Last Update Date
2008-07-14
Business Address
DR. KENNETH DAVID BURGESS M. D.
3845 SOUTH NEW HOPE ROAD
GASTONIA, NC 28056
Phone number: 704-824-9119
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Mailing Address
DR. KENNETH DAVID BURGESS M. D.
PO BOX 551178
GASTONIA, NC 28055-1178
Phone number: 704-824-9119
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