KELLY D. BURCHETT DO LLC NPI 1891983037

NPI Information

  • NPI: 1891983037
  • Provider Name: KELLY D. BURCHETT DO LLC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Doing Business As: ADVANCED SURGICAL ARTS
  • Address: 1605 SOUTH BALTIMORE
    SUITE B
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 665-3599

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NPI Details

KELLY D. BURCHETT DO LLC is an otolaryngology/facial plastic surgery otolaryngology in Kirksville, MO. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. KELLY D. BURCHETT DO LLC NPI is 1891983037. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Surgical Arts.

The provider's business location address is:

1605 SOUTH BALTIMORE
SUITE B
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 665-3599
Fax: (660) 665-3570

The provider's authorized official is Kelly Douglas Burchett .
The authorized official title is Physician and has the following contact phone number (660) 665-3599.

The enumeration date for this NPI number is 10/12/2007 and was last updated on 10/14/2011.

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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery2001010344MISSOURIYes

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
1000014669MEDICARE PINMISSOURI

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: 11/21/2025

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