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1902497100
KENNETH BENJAMIN BURGETT
CHARLOTTE, NC
NPI
1902497100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11879)
Enumeration Date
2021-01-30
Last Update Date
2022-11-02
Business Address
KENNETH BENJAMIN BURGETT PA-C
501 S SHARON AMITY RD STE 300
CHARLOTTE, NC 28211-0035
Phone number: 704-377-2424
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Mailing Address
KENNETH BENJAMIN BURGETT PA-C
3070 DINDLE DR
LANCASTER, SC 29720-0136
Phone number: 770-265-4280
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