Individual
KRISTIN BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 KY 15 N, JACKSON, KY 41339-4133
(859) 404-5521
Mailing address
59 KY-15 N, JACKSON, KY 41339-7060
(859) 404-5221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021582
KY
Other
Enumeration date
11/06/2020
Last updated
08/25/2021
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