Individual
MISS KIMBERLY BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1233 LOCUST ST FL 4, PHILADELPHIA, PA 19107-5459
(215) 790-1788
(215) 732-5490
Mailing address
1233 LOCUST ST, 3RD FLOOR, PHILADELPHIA, PA 19107-5453
(215) 985-4448
(215) 985-4952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN005788
PA
363LF0000X
Family Nurse Practitioner
Primary
RN10037692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103230301
—
PA
Enumeration date
10/19/2015
Last updated
04/17/2026
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