Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH R. BURG, M.D.
Active Sole ProprietorKENNETH R. BURG, M.D. is a Psychiatry healthcare provider located in WAUPUN, Wisconsin. NPI 1558311613 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · WAUPUN, WI
Registration Details
- NPI Number
- 1558311613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.300156208628 yrs)
- Last Updated
- Nov 16, 2012
- License
-
47945 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 W LINCOLN STWAUPUN, WI, 539631949Browse WI providers · Browse ZIP 53963
- Phone
- 9203245577
- Fax
- 9203246288
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in WAUPUN, WI
| Name | Credential | NPI |
|---|---|---|
| DR. TODD RICHARD CALLISTER | MD | 1568582807 |
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.