Individual
MR. RICHARD K BURGESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3577 LALA RD, LIHUE, HI 96766-9520
(808) 274-3193
Mailing address
2910 AUKOI ST, LIHUE, HI 96766-1607
(808) 245-8519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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