Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35087552 | OH |
NPI | 1013003862 |
---|---|
Provider Name | Dr. Amy M Burkett |
First Address | Akron, OH 44320-4218 |
Second Address | Akron, OH 44320-4218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 18/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2731351 | (05) | OH |