Individual
KATHLEEN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170877
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170877
VA
Other
Enumeration date
10/31/2007
Last updated
05/01/2024
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