KEVIN LYN BURNER (NPI# 1477542942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477542942 |
| Entity Type | Individual |
| Full Name | KEVIN LYN BURNER |
| Credential | M.D. |
| Practice Address |
1801 Ashley Cir Bowling Green KY 42104 |
| Mailing Address |
1801 Ashley Cir Bowling Green KY 42104-3362 |
| Practice Telephone | 6158439387 |
| Practice Fax Number | 2707932027 |
| Mailing Telephone | 2707932416 |
| Mailing Fax Number | 2707932027 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37672 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64060155 | 05 | |
| KY | DEA # | BB5687718 | 01 |
| TN | 4048023 | 05 | |
| KY | STATE LICENSE # | 37672 | 01 |
| Street Address |
1801 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265195 | Holly R Thomerson | Nurse Practitioner | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2020-08-14 |
| 1598387938 | Allison Lee Pedigo | Registered Nurse | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2020-05-07 |
| 1396384079 | Betsy Mccoy | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-12-30 |
| 1568936706 | Katie Fletcher Lowe | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-21 |
| 1982177457 | Rachael Katherine Grant | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-08 |
| 1780182477 | Whitney E Huffingham | Registered Nurse | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2018-01-27 |
| 1578917142 | Steve Duleh | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2016-04-19 |
| 1508239336 | Mighty Oak Emergency Physicians, LLC | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2015-11-02 |
| 1043682909 | Guardian Emergency Physicians, LLC | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2015-10-30 |
| 1275910648 | Wendi Lee King | Nurse Practitioner | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174604334 | Advanced Radiologic Physicians, Inc. | Radiology | 950 W. Wooster St., Bowling Green, OH 43402-2603 | 2006-10-17 |
| 1285613141 | Springfield Radiology Associates, PC | Radiology | 250 Park Street, Bowling Green, KY 42101-1760 | 2006-01-10 |
| 1497873525 | Premier Radiology Services Psc | Radiology | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2007-03-27 |
| 1801921507 | Anthony R Arauz | Radiology | 201 Park St, Bowling Green, KY 42101-1759 | 2007-02-22 |
| 1366547572 | Ladonna Sharon Smith | Radiology | 250 Park St, Department of Radiology, Bowling Green, KY 42101-1760 | 2006-09-13 |
| 1922035393 | Commonwealth Health Corporation | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-06-28 |
| 1154367878 | Jason I. Lindsey | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-06-21 |
| 1760443840 | Delon N Hebron | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-03-29 |
| 1730152398 | James T. Gray | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-02-13 |
| 1124091913 | Allen O. Powell | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-02-10 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.