Provider Demographics
NPI:1750864120
Name:BURCHERS, ANNA M (LAC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:BURCHERS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8025 WARD PARKWAY PLZ
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2131
Mailing Address - Country:US
Mailing Address - Phone:816-214-8789
Mailing Address - Fax:
Practice Address - Street 1:8025 WARD PARKWAY PLZ
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2131
Practice Address - Country:US
Practice Address - Phone:816-214-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018022472171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist