Individual
KIMBERLY BURNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
550 POPE AVE NW STE 300, WINTER HAVEN, FL 33881-4679
(863) 299-2636
(863) 662-5288
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(689) 304-0303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9246734
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9246734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018266400
—
FL
Enumeration date
08/19/2015
Last updated
08/07/2025
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