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KENNETH BURKE M.D. NPI 1992893853


NPI Information

NPI: 1992893853
Provider Name: KENNETH BURKE, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

CLIA Number: 10D2116075

Address:
111 JIM MORAN BLVD
DEERFIELD BEACH, FL
ZIP 33442
Phone: (954) 429-2418
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Kenneth Burke, M.D. is an internal medicine in Deerfield Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kenneth Burke, M.D. NPI is 1992893853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 JIM MORAN BLVD
DEERFIELD BEACH, FL
ZIP 33442-701
Phone: (954) 429-2418
Fax: (954) 429-2389

The CLIA number assigned to this NPI record is 10D2116075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine67633FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E54699MEDICARE UPINFLORIDA
227692MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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