| NPI | 1992974042 |
|---|---|
| Other Name | KENNETH D. BURGESS, M. D. |
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID BURGESS Owner/ President 704-824-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 32655) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-07-14 |