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Contact Information

SUSAN M BURKHART, MD
801 KIDWELL DRIVE
ST MARY'S CLINIC
VERSAILLES, MO65084
 Phone: 573-378-5454
 Fax: 573-378-5055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for SUSAN M BURKHART · (Female)

NPI # 1447257571
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 104938
  • MO Medicaid 2007903022
  • MO Medicaid 207903022
  • MO Other 33968017 BCBS
  • MO Other 32329 FAMILY HEALTH PARTNERS
  • MO Other 853019 FRIST HEALTH
  • MO Other 5487 HEALTH CARE USA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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