Individual
KENDRA M BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
(606) 886-1316
Mailing address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-8511
(606) 886-1316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1210
KY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100242920
—
KY
Enumeration date
09/24/2009
Last updated
06/14/2022
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