Individual
KIM BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
122 W COLORADO BLVD, DALLAS, TX 75208-2382
(214) 947-6700
(214) 947-6701
Mailing address
122 W COLORADO BLVD, DALLAS, TX 75208-2382
(214) 947-6700
(214) 947-6701
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP109765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042494702
—
TX
05
—
042494703
—
TX
05
—
042494704
—
TX
05
—
042494705
—
TX
05
—
042494706
—
TX
05
—
042494707
—
TX
05
—
042494708
—
TX
05
—
042494709
—
TX
05
—
042494710
—
TX
05
—
042494711
—
TX
01
—
8Y2093
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/10/2007
Last updated
05/03/2021
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