NPI 1134446263 · live from the CMS NPI Registry
Kenneth Alan Burckardt, M.D.
Anesthesiology in Fort Wayne, IN. National Provider Identifier 1134446263, active.
NPI record
| NPI | 1134446263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 6435 W Jefferson Blvd # 434, Fort Wayne, IN 46804 |
| Practice phone | 260-436-7875 |
| Mailing address | Po Box 843603, Dallas, TX 75284 |
| Enumerated | April 29, 2010 |
| Last updated | October 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 01074085A (IN) |
| Anesthesiology | 207L00000X | 55448 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.