Individual
KIMBERLY ANNA BURGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN
Contact information
Practice address
27 FIFTH AVENUE, TIOGA CENTER, NY 13845
(607) 687-8006
Mailing address
PO BOX 241, TIOGA CENTER, NY 13845-0241
(607) 687-8006
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
456920
NY
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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