Individual
KELLY R BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2816 YALE DR, GRANITE CITY, IL 62040-3557
(618) 741-1346
Mailing address
2816 YALE DR, GRANITE CITY, IL 62040-3557
(618) 741-1346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2004018013
MO
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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