Individual
KIMBERLEE BURCKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 8TH AVE W, CRESCO, IA 52136-1064
(563) 547-2022
(563) 547-3448
Mailing address
321 8TH AVE W, CRESCO, IA 52136-1064
(563) 547-2022
(563) 547-3448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0065129
CO
207Q00000X
Family Medicine Physician
Primary
MD-50109
IA
390200000X
Student in an Organized Health Care Education/Training Program
TL.0007850
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900014495
—
CO
Enumeration date
04/18/2019
Last updated
10/11/2022
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