Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith C. Burgess, PA

Individual provider Physician Assistant · NPI 1558309062

Keith C. Burgess, PA is a Physician Assistant in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Phone: (410) 532-4040
Fax: (410) 532-4962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C01300 (MD)

Record details

NPI number1558309062
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 11, 2007

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