Individual
MRS. KIMBERLY A. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1725 N 1ST ST STE D, HERMISTON, OR 97838-1682
(541) 567-5678
(541) 567-2110
Mailing address
PO BOX 90, SUNNYSIDE, WA 98944-0090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6680
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807455600
—
ID
Enumeration date
07/26/2006
Last updated
11/03/2024
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