Individual
KATHLEEN LYNN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(443) 287-4656
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R100515
MD
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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