Individual
KAITLIN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 NW ANGEL FALLS RD, BENTONVILLE, AR 72712-3463
(617) 688-9588
Mailing address
1506 NW ANGEL FALLS RD, BENTONVILLE, AR 72712-3463
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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