| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICHOLAS JOSEPH BURKHOLDER | 1922692417 | 2024-09-03 |
Nicholas Joseph Burkholder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922692417. Registration indicates Nicholas Joseph Burkholder is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Nicholas Joseph Burkholder MD |
| Practice Office Address | 200 BRULE ST FORT KNOX, KY US |
| Practice Office Telephone | 5026266096 |
| Practice Office Fax | 5024140088 |
| Mailing Address | 200 BRULE ST FORT KNOX, KY 401216100 US |
| Business Telephone | 5026266096 |
| Business Fax | 5024140088 |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 0101276648
VA |