Provider Demographics
NPI:1124916903
Name:BURKEY, ADAM L
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:L
Last Name:BURKEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 HARDSCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:OH
Mailing Address - Zip Code:43001-8755
Mailing Address - Country:US
Mailing Address - Phone:740-803-8557
Mailing Address - Fax:
Practice Address - Street 1:2428 HARDSCRABBLE RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:OH
Practice Address - Zip Code:43001-8755
Practice Address - Country:US
Practice Address - Phone:740-803-8557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide