Individual
GAIL L BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
117 E NINTH, WINFIELD, KS 67156
(620) 221-0740
(620) 221-0738
Mailing address
1851 N WEBB RD, ATTN FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 858-3830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220240B
—
KS
01
—
410029592
RAILROAD MEDICARE
KS
01
—
CD2825
RAIL ROAD MEDICARE GROUP
KS
Enumeration date
02/23/2006
Last updated
04/03/2008
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