Kenneth M. Burtner
Oral and Maxillofacial Pathology
105 Ben Casey Dr Suite 115
Fort Mill
, South Carolina 29708-8561
Kenneth M. Burtner
Oral and Maxillofacial Pathology
105 Ben Casey Dr Suite 115
Fort Mill
, South Carolina 29708-8561
(803) 548-9915
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Kenneth M. Burtner
- 105 Ben Casey Dr Suite 115
- Fort Mill, SC
- Zip : 29708-8561
- Fax : (803) 548-9915
- Phone : (803) 548-9910
Second Address
- Kenneth M. Burtner
- 105 Ben Casey Dr Suite 115
- Fort Mill, SC
- Zip : 29708-8561
- Fax : (803) 548-9915
- Phone : (803) 548-9910
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 3553/611 | SC |
National Provider Identifier
| NPI | 1801976162 |
|---|---|
| Provider Name | Kenneth M. Burtner |
| First Address | Fort Mill, SC 29708-8561 |
| Second Address | Fort Mill, SC 29708-8561 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5903373 | (05) | NC |
| ZA9491 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.