Provider Demographics
NPI:1669675211
Name:BURKAY, KATHRYN R (MSW CSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:R
Last Name:BURKAY
Suffix:
Gender:F
Credentials:MSW CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 SPRING ST.
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-280-2080
Mailing Address - Fax:812-206-1213
Practice Address - Street 1:460 SPRING ST.
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130
Practice Address - Country:US
Practice Address - Phone:812-280-2080
Practice Address - Fax:812-206-1213
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor