Individual
KELLY D. BURKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 MOUNTAINTOP RD, REINHOLDS, PA 17569-9078
(610) 927-3792
Mailing address
291 MOUNTAINTOP RD, REINHOLDS, PA 17569-9078
(610) 927-3792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008000
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021717420001
—
PA
Enumeration date
04/23/2014
Last updated
04/23/2014
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