NPI 1740960681 · live from the CMS NPI Registry
Mckenzie Burke, PA-C
Physician Assistant in Grand Forks, ND. National Provider Identifier 1740960681, active.
NPI record
| NPI | 1740960681 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3035 Demers Ave, Grand Forks, ND 58201 |
| Practice phone | 701-746-7521 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | July 24, 2023 |
| Last updated | November 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC1018 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.