Individual provider · NPI-1
Kevin Burroughs, MD
Family Medicine · Concord, NC
NPI number1750378576
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1750378576
- Entity type
- Individual (NPI-1)
- Name
- Kevin Burroughs
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2005
- Certification date
- Apr 8, 2022
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9901134 | NC | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 9901134 | NC |
Practice location
270 Copperfield Blvd NeSte 102
Concord, NC 28025-2441
Phone 704-786-6521
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
2090 S Us 29 Hwy
China Grove, NC 28023-8650
China Grove, NC 28023-8650
Phone 704-403-6800
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