Provider Demographics
NPI:1124218060
Name:BURKART, KEVIN L (LPC)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:L
Last Name:BURKART
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 N UNION PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-4931
Mailing Address - Country:US
Mailing Address - Phone:918-810-0998
Mailing Address - Fax:
Practice Address - Street 1:871 N UNION PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-4931
Practice Address - Country:US
Practice Address - Phone:918-810-0998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS357101YP2500X
MO2012042240101YP2500X
OK6982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional