Individual
KATHY A BURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
242 VANDERBILT RD, BRISTOL, CT 06010-3674
(860) 589-2448
Mailing address
242 VANDERBILT RD, BRISTOL, CT 06010-3674
(860) 589-2448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E42599
CT
363LA2200X
Adult Health Nurse Practitioner
001315
CT
Other
Enumeration date
05/11/2006
Last updated
09/11/2025
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