Individual
MRS. KINDAL MAXEY BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1690 SKYLYN DR STE 300A, SPARTANBURG, SC 29307-1022
(864) 342-4000
(864) 596-7409
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19996
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC94455019
MEDICARE PIN
SC
Enumeration date
08/28/2016
Last updated
03/14/2019
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