Individual
KATHY ANN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-2178
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
255069
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154402
—
TX
01
—
178028300
DEPT OF LABOR GROUP NO.
—
01
—
86313U
BCBS INDIV
—
01
—
P00476720
RR MCR
—
Enumeration date
07/19/2006
Last updated
08/04/2022
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