Individual
KIRBY LYNN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 N MISSOURI ST STE 1, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
(870) 400-0479
Mailing address
610 N MISSOURI ST STE 1, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
(870) 400-0479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1454
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A1454
OTA
AR
Enumeration date
03/13/2019
Last updated
11/27/2023
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