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Individual
KATHLEEN BURKE
Active
Individual
KATHLEEN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C.,M.S., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
165067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53313
FALLEN COMMUNITY HEALTH C
MA
01
—
MB03805471
STATE CONTROLLED SUBSTANC
MA
01
—
NP1970
BC/BS
MA
Enumeration date
08/31/2006
Last updated
10/06/2026
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