Wayne Lee Burton, HS3

Individual provider Active NPI Other Technician · Buzzards Bay, MA

NPI 1295711752 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295711752
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
5201 Lee Rd
Khealer Clinic
Buzzards Bay, MA 02542
Phone
(508) 968-6704
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

5201 Lee Rd
Khealer Clinic
Buzzards Bay, MA 02542

Mailing address

5338 Tinker St
Unit C
Buzzards Bay, MA 02542

Other providers in Buzzards Bay, MA

All providers in Buzzards Bay, MA · Other Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.