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Contact Information

KENT R BURRESS, DPM
1819 WASHINGTON AVE
EVANSVILLE, IN47714
 Phone: 812-457-7020
 Fax: 812-477-0200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENT R BURRESS · (Male)

NPI # 1861474058
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/15/2005
Last updated 02/07/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 0700515
  • IN Medicaid 100246800A
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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