| NPI | 1881709855 |
|---|---|
| Former Name | KAY ELLEN BURDETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: WV 9281) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 35-032436) |
| 207W00000X Ophthalmology (Licence: WV 9281) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: OH 35032436) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-07-25 |