Most Relevant Information
Provider Data
| NPI Number: | 1003184433 |
| Provider Name: | KEVIN P BURKHARDT |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | AT006132 |
Most Important Dates
| Enumeration Date: | 12/13/2011 |
| Last Updated: | 09/05/2012 |
Provider Practice Location
149 PLANTATION RIDGE DR
SUITE 190
MOORESVILLE
NC
281179174
Practice Location Phone/Fax
| Phone: | 7046580595 |
| Fax: | 7046580916 |
Provider Mailing Location
149 PLANTATION RIDGE DR
SUITE 190
MOORESVILLE
NC
281179174
Provider Mailing Phone/Fax
| Phone: | 7046580595 |
| Fax: | 7046580916 |