Individual
MRS. KAITLYN ROSE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HALEY AVE, LOUISIANA, MO 63353-2417
(573) 754-6904
Mailing address
5360 HIGHWAY 79, LOUISIANA, MO 63353-3245
(573) 560-0705
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023042939
MO
Other
Enumeration date
10/25/2023
Last updated
03/12/2025
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