KENDRA M BURGESS (NPI# 1609100692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609100692 |
| Entity Type | Individual |
| Full Name | KENDRA M BURGESS |
| Credential | PA-C |
| Practice Address |
400 University Dr Suite 101-a Prestonsburg KY 41653-1080 |
| Mailing Address |
Po Box 1810 Prestonsburg KY 41653-5810 |
| Practice Telephone | 6068863831 |
| Practice Fax Number | 6068863440 |
| Mailing Telephone | 6068863831 |
| Mailing Fax Number | 6068863440 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2012-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 UNIVERSITY DR SUITE 101-A |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736841 | Archer Clinic Laboratory | Clinical Medical Laboratory | 400 University Dr, Suite 105, Prestonsburg, KY 41653-1080 | 2005-08-04 |
| 1821641036 | Arh Tug Valley Health Services, Inc. | Physician Assistant | 400 University Dr, Prestonsburg, KY 41653-1080 | 2019-07-17 |
| 1255881033 | Living Free Recovery, Pllc | Family Medicine | 400 University Dr, Prestonsburg, KY 41653-1080 | 2016-10-05 |
| 1235577628 | Matthew Kyle Turner | Family Medicine | 400 University Dr, Prestonsburg, KY 41653-1080 | 2013-06-07 |
| 1811265200 | Cooley Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 400 University Dr, Suite 104, Prestonsburg, KY 41653-1080 | 2011-12-13 |
| 1952691057 | Jls Medical Enterprises Psc | Physician Assistant | 400 University Dr, Suite 201b, Prestonsburg, KY 41653-1080 | 2011-04-11 |
| 1114216777 | American Surgical Specialists, Pllc | Surgery | 400 University Dr, Suite 203, Prestonsburg, KY 41653-1080 | 2011-04-05 |
| 1316254261 | American Surgical Specialists, Pllc | Surgery | 400 University Dr, Suite 105, Prestonsburg, KY 41653-1080 | 2010-09-13 |
| 1871734913 | Highlands Medical Partners I LLC | Clinical Medical Laboratory | 400 University Dr, Suite 102, Prestonsburg, KY 41653-1080 | 2009-03-19 |
| 1023200920 | Chad O Patterson | Surgery | 400 University Dr, Suite 203, Prestonsburg, KY 41653-1080 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194959759 | Carla M Brown | Physician Assistant | 4851 Ky Route 321, Prestonsburg, KY 41653-9113 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| Find all providers with the same taxonomy | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
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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.