Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 046417 | CT |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036118111 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 046417 | CT |
NPI | 1497971667 |
---|---|
Provider Name | Jeffrey K. Burns |
First Address | Farmington, CT 06032-2565 |
Second Address | Hartford, CT 06106-5521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 24/06/2021 |