Individual
KATHLEEN H BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12824 SE 4TH PL, BELLEVUE, WA 98005-3608
(425) 258-7511
(425) 258-7742
Mailing address
PO BOX 3129, LYNNWOOD, WA 98046-3129
(425) 712-3417
(425) 712-3710
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00041753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8449977
—
WA
Enumeration date
07/07/2005
Last updated
10/15/2009
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