Individual
KIMBERLY H BURKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Mailing address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2984
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00985023
—
MS
05
—
1431281
—
LA
Enumeration date
04/12/2007
Last updated
07/09/2007
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