Individual
MR. KIRBY LEE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2349 RENAISSANCE DR STE A, LAS VEGAS, NV 89119-6191
(702) 739-7716
(702) 597-2242
Mailing address
PO BOX 81134, LAS VEGAS, NV 89180-1134
(702) 303-7907
(702) 982-6836
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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