Individual
KRISTIE L BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 INDUSTRIAL BLVD, LEESBURG, AL 35983-3737
(256) 526-3233
(256) 526-3324
Mailing address
280 INDUSTRIAL BLVD, LEESBURG, AL 35983-3737
(256) 526-3323
(256) 526-3324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN191802
GA
363LF0000X
Family Nurse Practitioner
Primary
1-123496
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121713B
—
GA
05
—
148530
—
AL
Enumeration date
02/29/2012
Last updated
02/06/2023
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