Individual
MRS. KIMBERLEY ANNE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1617 S J ST, TACOMA, WA 98405-4930
(253) 274-7504
Mailing address
1617 S J ST, TACOMA, WA 98405-4930
(253) 274-7504
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP 30007986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289355
L&I
WA
01
—
0301476
STATE L&I
WA
01
—
G8906798
MEDICARE
WA
Enumeration date
06/13/2005
Last updated
01/11/2016
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