Individual
KRISTY BURKE-GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, RPSGT
Contact information
Practice address
114 MONUMENT PL, VICKSBURG, MS 39180-5169
(601) 218-6300
Mailing address
440 DOGWOOD LAKE DR, VICKSBURG, MS 39183-7462
(601) 218-6300
Taxonomy
Speciality
Code
Description
License number
State
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
MS
227900000X
Registered Respiratory Therapist
Primary
—
MS
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
MS
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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