Individual
KAITLYN ELIZABETH BURKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3830 OXFORD RD, JEFFERSON CITY, MO 65109-5341
(573) 301-7538
Mailing address
940 CLAYCREST DR, SAINT CHARLES, MO 63304-7531
(573) 301-7538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2019
Last updated
05/25/2021
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