Kelly Dawn Burke, is a
Developmental Therapist based in Fort Wayne, Indiana. Kelly Dawn Burke is licensed to practice in * (Not Available) (license number ) and her current practice location is
3514 Stellhorn Rd, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(859) 267-0705.
NPI number for Kelly Dawn Burke is 1497067961 and her current mailing address is 6721 Clovercrest Dr, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497067961.
Healthcare Provider's Profile
Full Name | Kelly Dawn Burke |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 3514 Stellhorn Rd, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497067961
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 04/08/2025
Medical Identifiers
Medical identifiers for Kelly Dawn Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497067961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Dawn Burke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Dawn Burke, 6721 Clovercrest Dr, Fort Wayne, IN 46815-5403 Ph: (859) 494-1420 | Kelly Dawn Burke, 3514 Stellhorn Rd, Fort Wayne, IN 46815-4631 Ph: (859) 267-0705 |
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