Individual
KIMBERLY ANNE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7909 HIGHWAY N, O FALLON, MO 63368-7382
(636) 625-1560
(636) 625-1390
Mailing address
1801 SPRINGDALE ACRES LN, SAINT LOUIS, MO 63131-3627
(636) 625-1560
(636) 625-1390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2007008090
MO
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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