Individual
ELENA ANN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 FISHER ST RM 5A-167, KEESLER AFB, MS 39534-2508
(228) 376-2273
Mailing address
301 FISHER ST, RM 5A-167, 81 MDG/GME, KEESLER AFB, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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