Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW KELLY BURT, M.D.
Active Sole ProprietorANDREW KELLY BURT, M.D. is a Legal Medicine healthcare provider located in SAN RAFAEL, California. NPI 1124147368 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1124147368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2007 (19.408592992348 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C383160 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 MARK DR STE 25SAN RAFAEL, CA, 949032268Browse CA providers · Browse ZIP 94903
- Phone
- 4154911492
- Fax
- 4154191499
- Primary Specialty
-
Legal Medicine
173000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.