Individual
KIMBERLY LATRICE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S 17TH ST STE 726, OMAHA, NE 68102-1991
(402) 421-1119
Mailing address
2410 FLORENCE BLVD, OMAHA, NE 68110-2290
(402) 320-1790
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372500000X
NE
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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